45D2257160 CLIA NUMBER - USRC ALVIN LLC DBA US RENAL CARE ALVIN DIALYSIS

Laboratory Demographics

CLIA Number: 45D2257160

Facility Name: USRC ALVIN LLC DBA US RENAL CARE ALVIN DIALYSIS

Facility Address:
100 EAST HOUSE STREET
ALVIN, TX
ZIP 77511
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Facility Phone Number: 281 245-1123

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1518608785

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2257160
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	USRC ALVIN LLC DBA US RENAL CARE ALVIN DIALYSIS
Street	100 EAST HOUSE STREET
City	ALVIN
State	TX
ZIP	77511
Phone	281 245-1123
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024