26D2150226 CLIA NUMBER - HOUSE SPRINGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2150226
  • Facility Name: HOUSE SPRINGS DIALYSIS
  • Facility Address: 40 WALTERS PLACE
    HOUSE SPRINGS, MO
    ZIP 63051
  • Facility Phone: 636 375-5270
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DANIJELA MATAIC
  • NPI Number: 1851892731
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2150226
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOUSE SPRINGS DIALYSIS
Street 40 WALTERS PLACE
City HOUSE SPRINGS
State MO
ZIP 63051
Phone 636 375-5270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DANIJELA MATAIC

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