45D2097103 CLIA NUMBER - USRC RICHARDSON, LLC DBA US RENAL CARE RICHARDSON DIALYSIS

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Laboratory Demographics

CLIA Number: 45D2097103

Facility Name: USRC RICHARDSON, LLC DBA US RENAL CARE RICHARDSON DIALYSIS

Facility Address:
3321 E RENNER ROAD SUITE 100
RICHARDSON, TX
ZIP 75082
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Facility Phone Number: 972 479-9401

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1740675164

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2097103
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	USRC RICHARDSON, LLC DBA US RENAL CARE RICHARDSON DIALYSIS
Street	3321 E RENNER ROAD SUITE 100
City	RICHARDSON
State	TX
ZIP	75082
Phone	972 479-9401
CertificateType	4
CertificateEffectiveDate	6/9/2023
CertificateExpirationDate	6/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024