26D0441167 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 26D0441167
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 4 TOWN CENTER DR SUITE F
    BOWLING GREEN, MO
    ZIP 63334
  • Facility Phone: 573 754-6239
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PRASHANTH PODARALLA
  • NPI Number: 1912930397
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0441167
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 4 TOWN CENTER DR SUITE F
City BOWLING GREEN
State MO
ZIP 63334
Phone 573 754-6239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PRASHANTH PODARALLA

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