45D2177120 CLIA NUMBER - USRC LIVE OAK, LLC DBA US RENAL CARE LIVE OAK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2177120
  • Facility Name: USRC LIVE OAK, LLC DBA US RENAL CARE LIVE OAK DIALYSIS
  • Facility Address: 12970 TOEPPERWEIN ROAD, SUITE 101
    LIVE OAK, TX
    ZIP 78233
  • Facility Phone: 210 202-3028
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN TARBOX
  • NPI Number: 1114576998
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2177120
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC LIVE OAK, LLC DBA US RENAL CARE LIVE OAK DIALYSIS
Street 12970 TOEPPERWEIN ROAD, SUITE 101
City LIVE OAK
State TX
ZIP 78233
Phone 210 202-3028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LAUREN TARBOX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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