14D2129233 CLIA NUMBER - NURSES' STATION PC, THE

Laboratory Demographics

  • CLIA Code: 14D2129233
  • Facility Name: NURSES' STATION PC, THE
  • Facility Address: 2 TERMINAL DRIVE, SUITE 1
    EAST ALTON, IL
    ZIP 62024
  • Facility Phone: 618 259-7781
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. PANIAGUA M D
  • NPI Number: 1154500254
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 14D2129233
LAB Type Physician Office
Facility Name NURSES' STATION PC, THE
Street 2 TERMINAL DRIVE, SUITE 1
City EAST ALTON
State IL
ZIP 62024
Phone 618 259-7781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director MIGUEL A. PANIAGUA M D

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