45D1076023 CLIA NUMBER - USRC MISSION LP DBA US RENAL CARE MISSION DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1076023
  • Facility Name: USRC MISSION LP DBA US RENAL CARE MISSION DIALYSIS
  • Facility Address: 1200 SAINT CLAIRE BLVD
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 581-8489
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAVITA KOOLWAL
  • NPI Number: 1639156193
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1076023
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC MISSION LP DBA US RENAL CARE MISSION DIALYSIS
Street 1200 SAINT CLAIRE BLVD
City MISSION
State TX
ZIP 78572
Phone 956 581-8489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAVITA KOOLWAL

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