45D0955842 CLIA NUMBER - USRC TARRANT, LP DBA US RENAL TARRANT DIALYSIS CENTRAL FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D0955842
  • Facility Name: USRC TARRANT, LP DBA US RENAL TARRANT DIALYSIS CENTRAL FORT WORTH
  • Facility Address: 4201 EAST BERRY SUITE 8
    FORT WORTH, TX
    ZIP 76105
  • Facility Phone: 817 531-0326
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANDHYA S. KOMMANA
  • NPI Number: 1487600904
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0955842
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TARRANT, LP DBA US RENAL TARRANT DIALYSIS CENTRAL FORT WORTH
Street 4201 EAST BERRY SUITE 8
City FORT WORTH
State TX
ZIP 76105
Phone 817 531-0326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANDHYA S. KOMMANA

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