Top 8 Sewage Cleanup & Biohazard Companies in Missouri (2026)

Published: May 30, 20262026480 words2 min read

Key Takeaways

8 sewage & biohazard firms in Missouri qualified for this ranking based on verified data from public sources (BBB, Google, IICRC, EPA, Yelp, Angi, HomeAdvisor).
The top firm in this ranking is ServiceMaster of Columbia, with a MetaScore of 99/100.
Every firm here carries at least one publicly verifiable signal — no firm appears in this article without a cited source.
This list is filtered to firms that explicitly offer sewage & biohazard services. Multi-discipline firms appearing here have that service confirmed on their website or in their public certifications.
Methodology is published in full at restorationindex.com/methodology. Firms can request a correction at restorationindex.com/contact.

Sources cited in this article: Better Business Bureau, Institute of Inspection, Cleaning and Restoration Certification, U.S. Environmental Protection Agency, Google, Yelp, Angi, HomeAdvisor, and Restoration Index.

Based on aggregated public-source data from BBB Business Profiles, Google Business Profile reviews, IICRC certified member directory, EPA Lead-Safe registry, Yelp, Angi Super Service Award lists, and HomeAdvisor recognition, here are the top-ranked sewage & biohazard firms in Missouri. Each firm receives a 0-100 Restoration Index MetaScore weighted across 9 sources.

Top 8 Sewage Cleanup & Biohazard Companies in Missouri — Ranked by Multi-Source MetaScore

ServiceMaster of Columbia (Columbia, MO) — MetaScore 99/100. BBB A+ accredited. founded 1989. Read the full review.
First Call Restoration (Kansas City, MO) — MetaScore 95/100. BBB A+. Read the full review.
SERVPRO of St. Louis County Northwest (St. Louis, MO) — MetaScore 90/100. 5.0-star Google rating across 200 reviews. Read the full review.
SERVPRO of Kansas City Midtown (Kansas City, MO) — MetaScore 88/100. 4.9-star Google rating across 210 reviews. Read the full review.
Rapid Dry St. Louis (St. Louis, MO) — MetaScore 87/100. BBB A+ accredited. founded 2014. Angi Super Service Award. Read the full review.
Kwik Dry LLC (Springfield, MO) — MetaScore 70/100. 4.7-star Google rating across 148 reviews. BBB NR. founded 1996. Read the full review.
Restoration 1 of Independence (Independence, MO) — MetaScore 62/100. 4.7-star Google rating across 38 reviews. BBB NR. IICRC certified. founded 2016. Read the full review.
SERVPRO of St. Louis City (St. Louis, MO) — MetaScore 0/100. Read the full review.

Top sewage & biohazard firms in St. Louis

SERVPRO of St. Louis County Northwest leads St. Louis with a MetaScore of 90/100 and 200 Google reviews. Other top-ranked firms in St. Louis include Rapid Dry St. Louis (MetaScore 87/100), and SERVPRO of St. Louis City (MetaScore 0/100).

Top sewage & biohazard firms in Kansas City

First Call Restoration leads Kansas City with a MetaScore of 95/100. Other top-ranked firms in Kansas City include SERVPRO of Kansas City Midtown (MetaScore 88/100).

Frequently Asked Questions

How is the Restoration Index MetaScore calculated?

The MetaScore is a weighted average of nine normalized component scores: Google Business Profile reviews (25%), BBB rating + complaint history (20%), IICRC certification (12%), EPA Lead-Safe registry (8%), years in business (10%), Yelp reviews (10%), Angi Super Service Award (5%), HomeAdvisor Top Rated (5%), and regional industry awards (5%). Firms with sparse data have weights redistributed proportionally across the sources we did find. Full methodology at restorationindex.com/methodology.

Who is the top-ranked sewage cleanup & biohazard company in Missouri?

As of May 2026, ServiceMaster of Columbia ranks #1 in Missouri for sewage cleanup & biohazard with a MetaScore of 99/100. The full ranking and per-firm breakdowns appear below.

How often is this list updated?

Firm-level data (reviews, BBB ratings, certifications) is refreshed every 30 to 90 days depending on the source. Awards and recognition fields refresh annually. The "Last refreshed" date below the article header reflects the most recent data refresh for this article.

Can firms pay to be included or ranked higher?

No. Restoration Index does not accept paid placement. The MetaScore is calculated identically for every firm in the index, whether or not they have any commercial relationship with Pleiades Consultancy (the publisher of this site). The methodology is published in full so firms can audit how the calculation works.

What if a firm I trust is missing from this list?

Coverage is rolling out city by city. If a firm meets our inclusion criteria (operating in the named region, offering sewage cleanup & biohazard services, with at least one verifiable public signal), they will appear in future refreshes. Firms can also reach out via restorationindex.com/contact to request inclusion.

Sources & Further Reading

Every claim in this article is backed by at least one of the following third-party sources. Linked out to the publisher so you can audit the original.