26D2141556 CLIA NUMBER - ROLLA HOME TRAINING

Laboratory Demographics

  • CLIA Code: 26D2141556
  • Facility Name: ROLLA HOME TRAINING
  • Facility Address: 1702 E 10TH STREET, SUITE B
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 458-2013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED ZAHOOR
  • NPI Number: 1063923753
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2141556
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROLLA HOME TRAINING
Street 1702 E 10TH STREET, SUITE B
City ROLLA
State MO
ZIP 65401
Phone 573 458-2013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED ZAHOOR

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