45D2325617 CLIA NUMBER - USRC PREMIER MIDLOTHIAN LLC DBA US RENAL CARE PREMIER DIALYSIS MIDLOTHIAN

Laboratory Demographics

  • CLIA Code: 45D2325617
  • Facility Name: USRC PREMIER MIDLOTHIAN LLC DBA US RENAL CARE PREMIER DIALYSIS MIDLOTHIAN
  • Facility Address: 800 HIGHLANDER AVE, SUITE 500
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 469 916-7940
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MAHBOOB A. KHAN
  • NPI Number: 1609764851
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2325617
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC PREMIER MIDLOTHIAN LLC DBA US RENAL CARE PREMIER DIALYSIS MIDLOTHIAN
Street 800 HIGHLANDER AVE, SUITE 500
City MIDLOTHIAN
State TX
ZIP 76065
Phone 469 916-7940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MAHBOOB A. KHAN

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