26D0440639 CLIA NUMBER - USRC CREVE COEUR, LLC DBA US RENAL CARE CREVE COEUR DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D0440639
  • Facility Name: USRC CREVE COEUR, LLC DBA US RENAL CARE CREVE COEUR DIALYSIS
  • Facility Address: 1009 EXECUTIVE PARKWAY DR
    CREVE COEUR, MO
    ZIP 63141
  • Facility Phone: 314 434-4770
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS POHLMAN
  • NPI Number: 1144879362
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0440639
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC CREVE COEUR, LLC DBA US RENAL CARE CREVE COEUR DIALYSIS
Street 1009 EXECUTIVE PARKWAY DR
City CREVE COEUR
State MO
ZIP 63141
Phone 314 434-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS POHLMAN

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