14D2046170 CLIA NUMBER - VASANTHA PAI M D P C

Laboratory Demographics

  • CLIA Code: 14D2046170
  • Facility Name: VASANTHA PAI M D P C
  • Facility Address: 2810 FRANK SCOTT PKWY WEST, STE 716
    BELLEVILLE, IL
    ZIP 62223
  • Facility Phone: 618 368-1540
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PAMELLA S. GRONEMEYER MD
  • NPI Number: 1306921218
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2046170
LAB Type Physician Office
Facility Name VASANTHA PAI M D P C
Street 2810 FRANK SCOTT PKWY WEST, STE 716
City BELLEVILLE
State IL
ZIP 62223
Phone 618 368-1540
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director PAMELLA S. GRONEMEYER MD

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