26D0437228 CLIA NUMBER - EUREKA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0437228
  • Facility Name: EUREKA PEDIATRICS
  • Facility Address: 515 N VIRGINIA
    EUREKA, MO
    ZIP 63025
  • Facility Phone: 636 587-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TED GREEN MD
  • NPI Number: 1578758470
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0437228
LAB Type Physician Office
Facility Name EUREKA PEDIATRICS
Street 515 N VIRGINIA
City EUREKA
State MO
ZIP 63025
Phone 636 587-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director TED GREEN MD

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