42D1048328 CLIA NUMBER - USRC SOUTH AIKEN, LLC DBA US RENAL CARE SOUTH AIKEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1048328
  • Facility Name: USRC SOUTH AIKEN, LLC DBA US RENAL CARE SOUTH AIKEN DIALYSIS
  • Facility Address: 169 CREPE MYRTLE DRIVE
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 644-8484
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DOUGLAS A. STAHURA
  • NPI Number: 1497271704
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1048328
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SOUTH AIKEN, LLC DBA US RENAL CARE SOUTH AIKEN DIALYSIS
Street 169 CREPE MYRTLE DRIVE
City AIKEN
State SC
ZIP 29803
Phone 803 644-8484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DOUGLAS A. STAHURA

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This page was last updated on: 9/29/2025