45D2077560 CLIA NUMBER - MDC 14 PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS - MANSFIELD

Laboratory Demographics

  • CLIA Code: 45D2077560
  • Facility Name: MDC 14 PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS - MANSFIELD
  • Facility Address: 2651 E BROAD STREET SUITE 109
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 225-4433
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HOANG LAN NGUYEN
  • NPI Number: 1710322466
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2077560
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MDC 14 PARTNERS, LLC DBA US RENAL CARE PREMIER DIALYSIS - MANSFIELD
Street 2651 E BROAD STREET SUITE 109
City MANSFIELD
State TX
ZIP 76063
Phone 817 225-4433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HOANG LAN NGUYEN

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