26D2079334 CLIA NUMBER - DCI LAKE HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2079334
  • Facility Name: DCI LAKE HOME DIALYSIS
  • Facility Address: 3797 OSAGE BEACH PARKWAY, SUITE B4
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 302-0375
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARBAKSH SANGHA
  • NPI Number: 1952748097
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2079334
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DCI LAKE HOME DIALYSIS
Street 3797 OSAGE BEACH PARKWAY, SUITE B4
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 302-0375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARBAKSH SANGHA

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: 9/29/2025