45D0992491 CLIA NUMBER - USRC TARRANT, LP DBA USRC TARRANT DIALYSIS CENTER NORTH FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D0992491
  • Facility Name: USRC TARRANT, LP DBA USRC TARRANT DIALYSIS CENTER NORTH FORT WORTH
  • Facility Address: 1978 EPHRIHAM AVENUE
    FORT WORTH, TX
    ZIP 76164
  • Facility Phone: 817 624-7811
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PETER B. RAMIREZ
  • NPI Number: 1053367763
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0992491
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TARRANT, LP DBA USRC TARRANT DIALYSIS CENTER NORTH FORT WORTH
Street 1978 EPHRIHAM AVENUE
City FORT WORTH
State TX
ZIP 76164
Phone 817 624-7811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PETER B. RAMIREZ

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