26D1081201 CLIA NUMBER - USRC ELLISVILLE, LLC DBA RENAL CARE ELLISVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D1081201
  • Facility Name: USRC ELLISVILLE, LLC DBA RENAL CARE ELLISVILLE DIALYSIS
  • Facility Address: 257 CLARKSON RD
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 636 207-7401
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANIBAL G. MELO
  • NPI Number: 1306495502
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1081201
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC ELLISVILLE, LLC DBA RENAL CARE ELLISVILLE DIALYSIS
Street 257 CLARKSON RD
City ELLISVILLE
State MO
ZIP 63011
Phone 636 207-7401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANIBAL G. MELO

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