45D2098193 CLIA NUMBER - USRC MEDICAL CENTER LLC US RENAL CARE MEDICAL CENTER DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2098193
  • Facility Name: USRC MEDICAL CENTER LLC US RENAL CARE MEDICAL CENTER DIALYSIS
  • Facility Address: 4511 NW LOOP 410, SUITE 101
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 541-0273
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PAVAN DUVULAPALLY
  • NPI Number: 1609261031
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2098193
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC MEDICAL CENTER LLC US RENAL CARE MEDICAL CENTER DIALYSIS
Street 4511 NW LOOP 410, SUITE 101
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 541-0273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PAVAN DUVULAPALLY

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