45D2058145 CLIA NUMBER - USRC KELLER, LLC DBA US RENAL CARE KELLER DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2058145
  • Facility Name: USRC KELLER, LLC DBA US RENAL CARE KELLER DIALYSIS
  • Facility Address: 4420 HERITAGE TRACE PARKWAY SUITE 312
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 993-6516
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN A. MEMON
  • NPI Number: 1073959631
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2058145
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC KELLER, LLC DBA US RENAL CARE KELLER DIALYSIS
Street 4420 HERITAGE TRACE PARKWAY SUITE 312
City FORT WORTH
State TX
ZIP 76244
Phone 817 993-6516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IMRAN A. MEMON

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