26D2028619 CLIA NUMBER - TOWN AND COUNTRY WEST DIALYSIS DBA LEASBURG DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 26D2028619
  • Facility Name: TOWN AND COUNTRY WEST DIALYSIS DBA LEASBURG DIALYSIS LLC
  • Facility Address: 12855 NORTH 40 DRIVE, SUITE LL4
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: (314) 542-0049
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TRICIA PAVLOPOULOS
  • NPI Number: 1508159666
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2028619
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOWN AND COUNTRY WEST DIALYSIS DBA LEASBURG DIALYSIS LLC
Street 12855 NORTH 40 DRIVE, SUITE LL4
City SAINT LOUIS
State MO
ZIP 63141
Phone 3145420049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TRICIA PAVLOPOULOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026