26D2021100 CLIA NUMBER - SIKESTON JAYCEE REGIONAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2021100
  • Facility Name: SIKESTON JAYCEE REGIONAL DIALYSIS
  • Facility Address: 135 PLAZA DRIVE, STE 101
    SIKESTON, MO
    ZIP 63801
  • Facility Phone: 573 472-7229
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAGHUVEER KURA
  • NPI Number: 1730133315
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 26D2021100
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SIKESTON JAYCEE REGIONAL DIALYSIS
Street 135 PLAZA DRIVE, STE 101
City SIKESTON
State MO
ZIP 63801
Phone 573 472-7229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAGHUVEER KURA

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