26D0968287 CLIA NUMBER - DIALYSIS CLINIC INC BOONVILLE

Laboratory Demographics

  • CLIA Code: 26D0968287
  • Facility Name: DIALYSIS CLINIC INC BOONVILLE
  • Facility Address: 600 RANKIN MILL LANE
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-2466
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MADHUKAR MISRA
  • NPI Number: 1588697965
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0968287
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC BOONVILLE
Street 600 RANKIN MILL LANE
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-2466
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 MADHUKAR MISRA

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