45D1081683 CLIA NUMBER - RSA- SOUTH PLAINS, LLP DBA US RENAL CARE KIDNEY CENTER OF LUBBOCK

Laboratory Demographics

CLIA Number: 45D1081683

Facility Name: RSA- SOUTH PLAINS, LLP DBA US RENAL CARE KIDNEY CENTER OF LUBBOCK

Facility Address:
3801 21ST ST SUITE 100
LUBBOCK, TX
ZIP 79410
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Facility Phone Number: 806 771-9933

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1922293703

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1081683
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RSA- SOUTH PLAINS, LLP DBA US RENAL CARE KIDNEY CENTER OF LUBBOCK
Street	3801 21ST ST SUITE 100
City	LUBBOCK
State	TX
ZIP	79410
Phone	806 771-9933
CertificateType	4
CertificateEffectiveDate	3/24/2024
CertificateExpirationDate	3/23/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024