26D0971291 CLIA NUMBER - MARSHALL RENAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0971291
  • Facility Name: MARSHALL RENAL CENTER
  • Facility Address: 359 WEST MORGAN
    MARSHALL, MO
    ZIP 65340
  • Facility Phone: 660 886-9080
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BLAKE BROOKS
  • NPI Number: 1043266513
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0971291
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MARSHALL RENAL CENTER
Street 359 WEST MORGAN
City MARSHALL
State MO
ZIP 65340
Phone 660 886-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BLAKE BROOKS

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