45D1005861 CLIA NUMBER - USRC GRAND PRAIRIE LLC US RENAL CARE GRAND PRAIRIE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1005861
  • Facility Name: USRC GRAND PRAIRIE LLC US RENAL CARE GRAND PRAIRIE DIALYSIS
  • Facility Address: 1006 NORTH CARRIER PARKWAY
    GRAND PRAIRIE, TX
    ZIP 75050
  • Facility Phone: 972 263-7202
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUMAN BIREDDY
  • NPI Number: 1457927899
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1005861
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC GRAND PRAIRIE LLC US RENAL CARE GRAND PRAIRIE DIALYSIS
Street 1006 NORTH CARRIER PARKWAY
City GRAND PRAIRIE
State TX
ZIP 75050
Phone 972 263-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUMAN BIREDDY

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