45D2187253 CLIA NUMBER - USRC CONROE, LLC

Laboratory Demographics

  • CLIA Code: 45D2187253
  • Facility Name: USRC CONROE, LLC
  • Facility Address: 200 SOUTH RIVERSHIRE DRIVE, SUITE 100
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 270-8400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MADHAVILATHA VUPPALI
  • NPI Number: 1245853449
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2187253
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC CONROE, LLC
Street 200 SOUTH RIVERSHIRE DRIVE, SUITE 100
City CONROE
State TX
ZIP 77304
Phone 936 270-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MADHAVILATHA VUPPALI

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