26D0438448 CLIA NUMBER - JOHN P MARINO MD

Laboratory Demographics

  • CLIA Code: 26D0438448
  • Facility Name: JOHN P MARINO MD
  • Facility Address: 10004 KENNERLY RD, SUITE 185B
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 842-5670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN P. MARINO
  • NPI Number: 1922112523
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0438448
LAB Type Physician Office
Facility Name JOHN P MARINO MD
Street 10004 KENNERLY RD, SUITE 185B
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 842-5670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director JOHN P. MARINO

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