45D1056742 CLIA NUMBER - USRC WEATHERFORD LLC DBA US RENAL CARE TARRANT DIALYSIS WEATHERFORD

Laboratory Demographics

  • CLIA Code: 45D1056742
  • Facility Name: USRC WEATHERFORD LLC DBA US RENAL CARE TARRANT DIALYSIS WEATHERFORD
  • Facility Address: 504 SANTA FE DRIVE
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 594-2832
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OBIAJULU KANU
  • NPI Number: 1295780054
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1056742
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WEATHERFORD LLC DBA US RENAL CARE TARRANT DIALYSIS WEATHERFORD
Street 504 SANTA FE DRIVE
City WEATHERFORD
State TX
ZIP 76086
Phone 817 594-2832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OBIAJULU KANU

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