65D2123501 CLIA NUMBER - USRC FINEGAYAN DIALYSIS, LLC DBA US RENAL CARE FINEGAYAN DIALYSIS

Laboratory Demographics

  • CLIA Code: 65D2123501
  • Facility Name: USRC FINEGAYAN DIALYSIS, LLC DBA US RENAL CARE FINEGAYAN DIALYSIS
  • Facility Address: 781 ROUTE 3 STE 101
    DEDEDO, GU
    ZIP 96929
  • Facility Phone: 671 588-0020
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAIED SAFABAKHSH
  • NPI Number: 1881116697
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 65D2123501
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC FINEGAYAN DIALYSIS, LLC DBA US RENAL CARE FINEGAYAN DIALYSIS
Street 781 ROUTE 3 STE 101
City DEDEDO
State GU
ZIP 96929
Phone 671 588-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAIED SAFABAKHSH

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