26D2085885 CLIA NUMBER - NORTH COUNTY KIDNEY CARE DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2085885
  • Facility Name: NORTH COUNTY KIDNEY CARE DIALYSIS
  • Facility Address: 1554 SIERRA VISTA PLAZA
    SAINT LOUIS, MO
    ZIP 63138
  • Facility Phone: 615 341-5819
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SURESH MATTHEW
  • NPI Number: 1023144896
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 26D2085885
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH COUNTY KIDNEY CARE DIALYSIS
Street 1554 SIERRA VISTA PLAZA
City SAINT LOUIS
State MO
ZIP 63138
Phone 615 341-5819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SURESH MATTHEW

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