45D2191548 CLIA NUMBER - USRC FWRG - KELLER, LLC DBA US RENAL CARE DOUBLE SPRINGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2191548
  • Facility Name: USRC FWRG - KELLER, LLC DBA US RENAL CARE DOUBLE SPRINGS DIALYSIS
  • Facility Address: 601 S MAIN ST SUITE 120
    KELLER, TX
    ZIP 76248
  • Facility Phone: 682 291-0092
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJU A. PATIL
  • NPI Number: 1649893850
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2191548
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC FWRG - KELLER, LLC DBA US RENAL CARE DOUBLE SPRINGS DIALYSIS
Street 601 S MAIN ST SUITE 120
City KELLER
State TX
ZIP 76248
Phone 682 291-0092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJU A. PATIL

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