26D0976974 CLIA NUMBER - RENAL CARE GROUP LEBANON

Laboratory Demographics

  • CLIA Code: 26D0976974
  • Facility Name: RENAL CARE GROUP LEBANON
  • Facility Address: 156 EVERGREEN PARKWAY
    LEBANON, MO
    ZIP 65536
  • Facility Phone: 417 532-0335
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN WOODY
  • NPI Number: 1295847168
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0976974
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP LEBANON
Street 156 EVERGREEN PARKWAY
City LEBANON
State MO
ZIP 65536
Phone 417 532-0335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SUSAN WOODY

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This page was last updated on: 6/4/2025