26D0446554 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 26D0446554
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 806 MEDICAL PARK DRIVE
    MEXICO, MO
    ZIP 65265
  • Facility Phone: 573 581-2638
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MYRA J. WATSON
  • NPI Number: 1205869682
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0446554
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 806 MEDICAL PARK DRIVE
City MEXICO
State MO
ZIP 65265
Phone 573 581-2638
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 MYRA J. WATSON

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