42D2142414 CLIA NUMBER - USRC MAULDIN, LLC

Laboratory Demographics

  • CLIA Code: 42D2142414
  • Facility Name: USRC MAULDIN, LLC
  • Facility Address: 1328 HWY 14
    SIMPSONVILLE, SC
    ZIP 29681
  • Facility Phone: 864 881-4015
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM WARD
  • NPI Number: 1356857577
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2142414
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC MAULDIN, LLC
Street 1328 HWY 14
City SIMPSONVILLE
State SC
ZIP 29681
Phone 864 881-4015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM WARD

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