14D0928845 CLIA NUMBER - ST LOUIS HEART & VASCULAR PC

Laboratory Demographics

  • CLIA Code: 14D0928845
  • Facility Name: ST LOUIS HEART & VASCULAR PC
  • Facility Address: 2120 MADISON AVE, STE 101
    GRANITE CITY, IL
    ZIP 62040
  • Facility Phone: 618 876-8214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONIYA SINGH M D
  • NPI Number: 1780058727
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0928845
LAB Type Physician Office
Facility Name ST LOUIS HEART & VASCULAR PC
Street 2120 MADISON AVE, STE 101
City GRANITE CITY
State IL
ZIP 62040
Phone 618 876-8214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director TONIYA SINGH M D

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