45D2124403 CLIA NUMBER - USRC CEDAR HILL, LLC DBA US RENAL CARE PREMIER DIALYSIS CEDAR HILL

Laboratory Demographics

  • CLIA Code: 45D2124403
  • Facility Name: USRC CEDAR HILL, LLC DBA US RENAL CARE PREMIER DIALYSIS CEDAR HILL
  • Facility Address: 458 N HWY 67 SUITE 400
    CEDAR HILL, TX
    ZIP 75104
  • Facility Phone: 214 444-7386
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AJAY SHUBHADEEP KALLAM
  • NPI Number: 1043742919
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2124403
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC CEDAR HILL, LLC DBA US RENAL CARE PREMIER DIALYSIS CEDAR HILL
Street 458 N HWY 67 SUITE 400
City CEDAR HILL
State TX
ZIP 75104
Phone 214 444-7386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AJAY SHUBHADEEP KALLAM

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