45D2017404 CLIA NUMBER - WAXLD, LLC DBA US RENAL CARE PREMIER DIALYSIS WAXAHACHIE

Laboratory Demographics

  • CLIA Code: 45D2017404
  • Facility Name: WAXLD, LLC DBA US RENAL CARE PREMIER DIALYSIS WAXAHACHIE
  • Facility Address: 1011 N HIGHWAY 77 SUITE 102
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 351-8575
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMMAR HAQUE
  • NPI Number: 1033423173
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2017404
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WAXLD, LLC DBA US RENAL CARE PREMIER DIALYSIS WAXAHACHIE
Street 1011 N HIGHWAY 77 SUITE 102
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 351-8575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMMAR HAQUE

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This page was last updated on: 3/20/2025