26D0437204 CLIA NUMBER - CHESTERFIELD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0437204
  • Facility Name: CHESTERFIELD PEDIATRICS
  • Facility Address: 16216 BAXTER ROAD, SUITE 310
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 519-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA SCOTT
  • NPI Number: 1629285176
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0437204
LAB Type Physician Office
Facility Name CHESTERFIELD PEDIATRICS
Street 16216 BAXTER ROAD, SUITE 310
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 519-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director ANGELA SCOTT

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