26D2152461 CLIA NUMBER - BLUE RIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D2152461
  • Facility Name: BLUE RIDGE DIALYSIS
  • Facility Address: 8608 E 63RD STREET
    KANSAS CITY, MO
    ZIP 64133
  • Facility Phone: 816 353-6100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OMKAR U. VAIDYA
  • NPI Number: 1033602990
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2152461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BLUE RIDGE DIALYSIS
Street 8608 E 63RD STREET
City KANSAS CITY
State MO
ZIP 64133
Phone 816 353-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OMKAR U. VAIDYA

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