14D1075029 CLIA NUMBER - COMMUNITY WELLNESS PROJECT, THE

Laboratory Demographics

  • CLIA Code: 14D1075029
  • Facility Name: COMMUNITY WELLNESS PROJECT, THE
  • Facility Address: 8601 WASHINGTON ST
    E ST LOUIS, IL
    ZIP 62203
  • Facility Phone: 618 874-8600
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DANA P. WILLIAMS
  • NPI Number: 1306273776
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1075029
LAB Type Independent
Facility Name COMMUNITY WELLNESS PROJECT, THE
Street 8601 WASHINGTON ST
City E ST LOUIS
State IL
ZIP 62203
Phone 618 874-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Independent
Lab Director DANA P. WILLIAMS

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