45D1040416 CLIA NUMBER - USRC SAN BENITO DIALYSIS, LTD DBA USRC SAN BENITO DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1040416
  • Facility Name: USRC SAN BENITO DIALYSIS, LTD DBA USRC SAN BENITO DIALYSIS
  • Facility Address: 910 N MCCULLOUGH STREET
    SAN BENITO, TX
    ZIP 78586
  • Facility Phone: 956 399-4037
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRAJESH BHATLA
  • NPI Number: 1669459079
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1040416
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SAN BENITO DIALYSIS, LTD DBA USRC SAN BENITO DIALYSIS
Street 910 N MCCULLOUGH STREET
City SAN BENITO
State TX
ZIP 78586
Phone 956 399-4037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRAJESH BHATLA

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