26D2029723 CLIA NUMBER - ARNOLD DIALYSIS

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Laboratory Demographics

CLIA Number: 26D2029723

Facility Name: ARNOLD DIALYSIS

Facility Address:
102 RICHARDSON CROSSING
ARNOLD, MO
ZIP 63010
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Facility Phone Number: 636 467-5619

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1629336599

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2029723
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ARNOLD DIALYSIS
Street	102 RICHARDSON CROSSING
City	ARNOLD
State	MO
ZIP	63010
Phone	636 467-5619
CertificateType	4
CertificateEffectiveDate	9/14/2023
CertificateExpirationDate	9/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024