45D2120860 CLIA NUMBER - USRC CONWAY LLC D/B/A US RENAL CARE CONWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2120860
  • Facility Name: USRC CONWAY LLC D/B/A US RENAL CARE CONWAY DIALYSIS
  • Facility Address: 200 W MILE 2 ROAD
    MISSION, TX
    ZIP 78574
  • Facility Phone: 956 445-5365
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANGELITO DEDIOS
  • NPI Number: 1376092221
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2120860
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC CONWAY LLC D/B/A US RENAL CARE CONWAY DIALYSIS
Street 200 W MILE 2 ROAD
City MISSION
State TX
ZIP 78574
Phone 956 445-5365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANGELITO DEDIOS

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