26D1075002 CLIA NUMBER - NORTH ST LOUIS COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D1075002
  • Facility Name: NORTH ST LOUIS COUNTY DIALYSIS
  • Facility Address: 13015 NEW HALLS FERRY RD
    FLORISSANT, MO
    ZIP 63033
  • Facility Phone: 314 838-3252
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KABEYA MWINTSHI
  • NPI Number: 1306926761
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D1075002
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH ST LOUIS COUNTY DIALYSIS
Street 13015 NEW HALLS FERRY RD
City FLORISSANT
State MO
ZIP 63033
Phone 314 838-3252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KABEYA MWINTSHI

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