45D0659491 CLIA NUMBER - RENAL CARE GROUP IRVING

Laboratory Demographics

  • CLIA Code: 45D0659491
  • Facility Name: RENAL CARE GROUP IRVING
  • Facility Address: 1625 NORTH STORY RD SUITE 140
    IRVING, TX
    ZIP 75061
  • Facility Phone: 972 871-8282
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHA JOSEPH CHEMMALAKUZHY
  • NPI Number: 1376655241
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0659491
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP IRVING
Street 1625 NORTH STORY RD SUITE 140
City IRVING
State TX
ZIP 75061
Phone 972 871-8282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHA JOSEPH CHEMMALAKUZHY

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