45D2109147 CLIA NUMBER - DSI EL PASO NORTH DIALYSIS, LLC D/B/A/ US RENAL CARE NORTH EL PASO DIALYSIS

Laboratory Demographics

CLIA Number: 45D2109147

Facility Name: DSI EL PASO NORTH DIALYSIS, LLC D/B/A/ US RENAL CARE NORTH EL PASO DIALYSIS

Facility Address:
3359 FRED WILSON AVENUE
EL PASO, TX
ZIP 79904
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Facility Phone Number: 915 304-5816

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1306215967

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2109147
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DSI EL PASO NORTH DIALYSIS, LLC D/B/A/ US RENAL CARE NORTH EL PASO DIALYSIS
Street	3359 FRED WILSON AVENUE
City	EL PASO
State	TX
ZIP	79904
Phone	915 304-5816
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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