14D0955306 CLIA NUMBER - ST CLAIR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D0955306
  • Facility Name: ST CLAIR PEDIATRICS
  • Facility Address: 4941 BENCHMARK CENTRE DR STE 100
    SWANSEA, IL
    ZIP 62226
  • Facility Phone: 618 624-9970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY T. GARRISON M D
  • NPI Number: 1073705737
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0955306
LAB Type Physician Office
Facility Name ST CLAIR PEDIATRICS
Street 4941 BENCHMARK CENTRE DR STE 100
City SWANSEA
State IL
ZIP 62226
Phone 618 624-9970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director GREGORY T. GARRISON M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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