45D1029314 CLIA NUMBER - USRC SA TRI COUNTY LLC DBA US RENAL CARE TRI COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1029314
  • Facility Name: USRC SA TRI COUNTY LLC DBA US RENAL CARE TRI COUNTY DIALYSIS
  • Facility Address: 19910 IH 35 S, SUITE 101
    LYTLE, TX
    ZIP 78052
  • Facility Phone: 830 772-5784
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REZA ABBAS ALI
  • NPI Number: 1477512895
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1029314
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SA TRI COUNTY LLC DBA US RENAL CARE TRI COUNTY DIALYSIS
Street 19910 IH 35 S, SUITE 101
City LYTLE
State TX
ZIP 78052
Phone 830 772-5784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REZA ABBAS ALI

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