42D2051103 CLIA NUMBER - DSI GREENVILLE,LLC D/B/A US RENAL CARE PLEASANTBURG HOME DIALYSIS

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Laboratory Demographics

CLIA Number: 42D2051103

Facility Name: DSI GREENVILLE,LLC D/B/A US RENAL CARE PLEASANTBURG HOME DIALYSIS

Facility Address:
110 CHALMERS ROAD, SUITE D
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 214 736-2700

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1639470222

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2051103
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DSI GREENVILLE,LLC D/B/A US RENAL CARE PLEASANTBURG HOME DIALYSIS
Street	110 CHALMERS ROAD, SUITE D
City	GREENVILLE
State	SC
ZIP	29605
Phone	214 736-2700
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024