45D2270620 CLIA NUMBER - USRC QUEBEC STREET, LLC DBA US RENAL CARE QUEBEC STREET DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2270620
  • Facility Name: USRC QUEBEC STREET, LLC DBA US RENAL CARE QUEBEC STREET DIALYSIS
  • Facility Address: 3400 NW CENTRE DR
    FORT WORTH, TX
    ZIP 76135
  • Facility Phone: 817 210-6861
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PETER RAMIREZ
  • NPI Number: 1497479828
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2270620
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC QUEBEC STREET, LLC DBA US RENAL CARE QUEBEC STREET DIALYSIS
Street 3400 NW CENTRE DR
City FORT WORTH
State TX
ZIP 76135
Phone 817 210-6861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PETER RAMIREZ

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