45D2198470 CLIA NUMBER - USRC BLUEBONNET HOME, LLC DBA US RENAL CARE BLUEBONNET HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2198470
  • Facility Name: USRC BLUEBONNET HOME, LLC DBA US RENAL CARE BLUEBONNET HOME DIALYSIS
  • Facility Address: 1902 WINDSOR PLACE SUITE 202
    FORT WORTH, TX
    ZIP 76110
  • Facility Phone: 817 953-5511
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OLADAPO AFOLABI
  • NPI Number: 1609473941
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2198470
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC BLUEBONNET HOME, LLC DBA US RENAL CARE BLUEBONNET HOME DIALYSIS
Street 1902 WINDSOR PLACE SUITE 202
City FORT WORTH
State TX
ZIP 76110
Phone 817 953-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OLADAPO AFOLABI

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