26D2049496 CLIA NUMBER - COLUMBIA HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2049496
  • Facility Name: COLUMBIA HOME DIALYSIS
  • Facility Address: 3320 BLUFF CREEK DRIVE, SUITE 103
    COLUMBIA, MO
    ZIP 65201
  • Facility Phone: 573 443-1084
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LINH T. LE
  • NPI Number: 1366793630
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2049496
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLUMBIA HOME DIALYSIS
Street 3320 BLUFF CREEK DRIVE, SUITE 103
City COLUMBIA
State MO
ZIP 65201
Phone 573 443-1084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LINH T. LE

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