45D2102371 CLIA NUMBER - GADC, LLC DBA US RENAL CARE PREMIER DIALYSIS GASTON AVENUE

Laboratory Demographics

  • CLIA Code: 45D2102371
  • Facility Name: GADC, LLC DBA US RENAL CARE PREMIER DIALYSIS GASTON AVENUE
  • Facility Address: 3417 GASTON AVENUE SUITE 180
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 972 232-1730
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOONHO PARK
  • NPI Number: 1467852186
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2102371
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GADC, LLC DBA US RENAL CARE PREMIER DIALYSIS GASTON AVENUE
Street 3417 GASTON AVENUE SUITE 180
City DALLAS
State TX
ZIP 75246
Phone 972 232-1730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOONHO PARK

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