26D2157464 CLIA NUMBER - BRANSON KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 26D2157464
  • Facility Name: BRANSON KIDNEY CENTER
  • Facility Address: 17829 BUS 13
    BRANSON WEST, MO
    ZIP 65737
  • Facility Phone: 417 334-8288
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN R. MARTINEZ
  • NPI Number: 1285109041
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2157464
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRANSON KIDNEY CENTER
Street 17829 BUS 13
City BRANSON WEST
State MO
ZIP 65737
Phone 417 334-8288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN R. MARTINEZ

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