26D2013972 CLIA NUMBER - GATEWAY ST LOUIS DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 26D2013972
  • Facility Name: GATEWAY ST LOUIS DIALYSIS, LLC
  • Facility Address: 4100 UNION BOULEVARD
    SAINT LOUIS, MO
    ZIP 63115
  • Facility Phone: 314 382-3480
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BHAJAN S. DARA
  • NPI Number: 1497074520
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2013972
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GATEWAY ST LOUIS DIALYSIS, LLC
Street 4100 UNION BOULEVARD
City SAINT LOUIS
State MO
ZIP 63115
Phone 314 382-3480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BHAJAN S. DARA

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