45D1006232 CLIA NUMBER - USRC TARRANT, LP DBA US RENAL CARE TARRANT DIALYSIS TARRANT COUNTY

Laboratory Demographics

  • CLIA Code: 45D1006232
  • Facility Name: USRC TARRANT, LP DBA US RENAL CARE TARRANT DIALYSIS TARRANT COUNTY
  • Facility Address: 501 COLLEGE AVENUE, SUITE 200
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 877-1515
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SARAVANAN BALAMUTHSAMY
  • NPI Number: 1639125131
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1006232
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TARRANT, LP DBA US RENAL CARE TARRANT DIALYSIS TARRANT COUNTY
Street 501 COLLEGE AVENUE, SUITE 200
City FORT WORTH
State TX
ZIP 76104
Phone 817 877-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SARAVANAN BALAMUTHSAMY

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