45D1067029 CLIA NUMBER - USRC SW FT WORTH LLC DBA US RENAL CARE SOUTHWEST FORT WORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1067029
  • Facility Name: USRC SW FT WORTH LLC DBA US RENAL CARE SOUTHWEST FORT WORTH DIALYSIS
  • Facility Address: 5127 OLD GRANBURY RD
    FORT WORTH, TX
    ZIP 76133
  • Facility Phone: 817 370-7830
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AVINASH VALLURUPALLI
  • NPI Number: 1023064623
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1067029
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SW FT WORTH LLC DBA US RENAL CARE SOUTHWEST FORT WORTH DIALYSIS
Street 5127 OLD GRANBURY RD
City FORT WORTH
State TX
ZIP 76133
Phone 817 370-7830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AVINASH VALLURUPALLI

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