26D0437193 CLIA NUMBER - DE SOTO FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 26D0437193
  • Facility Name: DE SOTO FAMILY PRACTICE
  • Facility Address: 12 JEFFERSON SQUARE
    DE SOTO, MO
    ZIP 63020
  • Facility Phone: 636 586-6685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN D. CRAWFORD
  • NPI Number: 1588719413
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0437193
LAB Type Physician Office
Facility Name DE SOTO FAMILY PRACTICE
Street 12 JEFFERSON SQUARE
City DE SOTO
State MO
ZIP 63020
Phone 636 586-6685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEVEN D. CRAWFORD

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