26D2152500 CLIA NUMBER - COLUMBIA HOME DIALYSIS SERVICES

Laboratory Demographics

  • CLIA Code: 26D2152500
  • Facility Name: COLUMBIA HOME DIALYSIS SERVICES
  • Facility Address: 3101 WEST BROADWAY, SUITE 115
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 446-2009
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL SHOEMAKER- MOYLE
  • NPI Number: 1790271864
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2152500
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLUMBIA HOME DIALYSIS SERVICES
Street 3101 WEST BROADWAY, SUITE 115
City COLUMBIA
State MO
ZIP 65203
Phone 573 446-2009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL SHOEMAKER- MOYLE

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