45D1033351 CLIA NUMBER - USRC MANSFIELD LLC

Laboratory Demographics

  • CLIA Code: 45D1033351
  • Facility Name: USRC MANSFIELD LLC
  • Facility Address: 1800 HWY 157 NORTH SUITE 101
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 682 518-0126
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PONNAIAH C. MOHAN
  • NPI Number: 1255907697
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1033351
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC MANSFIELD LLC
Street 1800 HWY 157 NORTH SUITE 101
City MANSFIELD
State TX
ZIP 76063
Phone 682 518-0126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PONNAIAH C. MOHAN

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