26D2028221 CLIA NUMBER - LOUP DIALYSIS, LLC DBA/ BOWLES AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2028221
  • Facility Name: LOUP DIALYSIS, LLC DBA/ BOWLES AVENUE DIALYSIS
  • Facility Address: 1011 BOWLES AVENUE, SUITE 210
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 326-7130
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MAGGIE MEIER
  • NPI Number: 1154617892
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2028221
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LOUP DIALYSIS, LLC DBA/ BOWLES AVENUE DIALYSIS
Street 1011 BOWLES AVENUE, SUITE 210
City FENTON
State MO
ZIP 63026
Phone 636 326-7130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MAGGIE MEIER

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