26D2141599 CLIA NUMBER - ROBIDOUX DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2141599
  • Facility Name: ROBIDOUX DIALYSIS
  • Facility Address: 802 JULES STREET
    SAINT JOSEPH, MO
    ZIP 64501
  • Facility Phone: 816 233-3340
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JINY OLICKAL
  • NPI Number: 1063923977
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2141599
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROBIDOUX DIALYSIS
Street 802 JULES STREET
City SAINT JOSEPH
State MO
ZIP 64501
Phone 816 233-3340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JINY OLICKAL

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