45D0659860 CLIA NUMBER - USRC TARRANT, LP DBA RENAL CARE TARRANT DIALYSIS FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D0659860
  • Facility Name: USRC TARRANT, LP DBA RENAL CARE TARRANT DIALYSIS FORT WORTH
  • Facility Address: 501 COLLEGE AVENUE, SUITE 100
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 877-5507
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN A. MEMON
  • NPI Number: 1386690964
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0659860
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TARRANT, LP DBA RENAL CARE TARRANT DIALYSIS FORT WORTH
Street 501 COLLEGE AVENUE, SUITE 100
City FORT WORTH
State TX
ZIP 76104
Phone 817 877-5507
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 IMRAN A. MEMON

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