42D2091451 CLIA NUMBER - DSI TRAVELERS REST, LLC D/B/A US RENAL CARE TRAVELERS REST DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2091451
  • Facility Name: DSI TRAVELERS REST, LLC D/B/A US RENAL CARE TRAVELERS REST DIALYSIS
  • Facility Address: 36 SOUTH MAIN STREET
    TRAVELERS REST, SC
    ZIP 29690
  • Facility Phone: 864 242-0802
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ISTVAN BOGNAR
  • NPI Number: 1134593239
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2091451
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI TRAVELERS REST, LLC D/B/A US RENAL CARE TRAVELERS REST DIALYSIS
Street 36 SOUTH MAIN STREET
City TRAVELERS REST
State SC
ZIP 29690
Phone 864 242-0802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ISTVAN BOGNAR

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This page was last updated on: 3/20/2025