26D0438165 CLIA NUMBER - WUCA-BRENTWOOD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0438165
  • Facility Name: WUCA-BRENTWOOD PEDIATRICS
  • Facility Address: 1600 S BRENTWOOD BLVD SUITE 100
    SAINT LOUIS, MO
    ZIP 63144
  • Facility Phone: 314 918-8827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA C. SMITH
  • NPI Number: 1215098983
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0438165
LAB Type Physician Office
Facility Name WUCA-BRENTWOOD PEDIATRICS
Street 1600 S BRENTWOOD BLVD SUITE 100
City SAINT LOUIS
State MO
ZIP 63144
Phone 314 918-8827
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 JOSHUA C. SMITH

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