45D2078040 CLIA NUMBER - RELIANT RENAL CARE - TEXAS, LLC DBA RRC WEST FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D2078040
  • Facility Name: RELIANT RENAL CARE - TEXAS, LLC DBA RRC WEST FORT WORTH
  • Facility Address: 5601 LOCKE AVENUE SUITE 101
    FORT WORTH, TX
    ZIP 76107
  • Facility Phone: 817 886-3200
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANGELITO YANGO
  • NPI Number: 1497895619
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2078040
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RELIANT RENAL CARE - TEXAS, LLC DBA RRC WEST FORT WORTH
Street 5601 LOCKE AVENUE SUITE 101
City FORT WORTH
State TX
ZIP 76107
Phone 817 886-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANGELITO YANGO

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