45D2069706 CLIA NUMBER - DDC PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS CHARLTON

Laboratory Demographics

  • CLIA Code: 45D2069706
  • Facility Name: DDC PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS CHARLTON
  • Facility Address: 3571 WEST WHEATLAND ROAD, SUITE 103
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 469 518-5731
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LATHA VELUSAMY
  • NPI Number: 1134465206
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2069706
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DDC PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS CHARLTON
Street 3571 WEST WHEATLAND ROAD, SUITE 103
City DALLAS
State TX
ZIP 75237
Phone 469 518-5731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LATHA VELUSAMY

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