49D2050062 CLIA NUMBER - USRC COLONIAL HEIGHTS, LLC

Laboratory Demographics

  • CLIA Code: 49D2050062
  • Facility Name: USRC COLONIAL HEIGHTS, LLC
  • Facility Address: 1617 BOULEVARD - SUITE B & C
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 520-1627
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SATISH BANKURU
  • NPI Number: 1952653388
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2050062
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC COLONIAL HEIGHTS, LLC
Street 1617 BOULEVARD - SUITE B & C
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 520-1627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SATISH BANKURU

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