45D2000367 CLIA NUMBER - DIALYSIS NEWCO LLC, D/B/A US RENAL CARE BRYAN DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2000367
  • Facility Name: DIALYSIS NEWCO LLC, D/B/A US RENAL CARE BRYAN DIALYSIS
  • Facility Address: 1612 N TEXAS AVE
    BRYAN, TX
    ZIP 77803
  • Facility Phone: 979 822-4613
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JUDSON SEVERSON
  • NPI Number: 1578839080
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2000367
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO LLC, D/B/A US RENAL CARE BRYAN DIALYSIS
Street 1612 N TEXAS AVE
City BRYAN
State TX
ZIP 77803
Phone 979 822-4613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JUDSON SEVERSON

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