49D2087362 CLIA NUMBER - USRC PETERSBURG, LLC DBA U S RENAL CARE PETERSBURG DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2087362
  • Facility Name: USRC PETERSBURG, LLC DBA U S RENAL CARE PETERSBURG DIALYSIS
  • Facility Address: 1964 S CRATER ROAD
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: 804 733-3847
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SATISH K. BANKURU
  • NPI Number: 1073910600
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2087362
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC PETERSBURG, LLC DBA U S RENAL CARE PETERSBURG DIALYSIS
Street 1964 S CRATER ROAD
City PETERSBURG
State VA
ZIP 23805
Phone 804 733-3847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SATISH K. BANKURU

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