26D0722105 CLIA NUMBER - SOUTH COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D0722105
  • Facility Name: SOUTH COUNTY DIALYSIS
  • Facility Address: 4145 UNION ROAD
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 894-1851
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HUMAYUN QUADIR MD
  • NPI Number: 1720049331
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0722105
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH COUNTY DIALYSIS
Street 4145 UNION ROAD
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 894-1851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HUMAYUN QUADIR MD

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