26D2054240 CLIA NUMBER - HEARTLAND KIDNEY AND DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 26D2054240
  • Facility Name: HEARTLAND KIDNEY AND DIALYSIS CENTER
  • Facility Address: 833 NORTH BUSINESS 49
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 455-9255
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LESLIE M. HAMLETT
  • NPI Number: 1407193063
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2054240
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HEARTLAND KIDNEY AND DIALYSIS CENTER
Street 833 NORTH BUSINESS 49
City NEOSHO
State MO
ZIP 64850
Phone 417 455-9255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LESLIE M. HAMLETT

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This page was last updated on: 6/4/2025