26D0440567 CLIA NUMBER - WUCA WOODS MILL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0440567
  • Facility Name: WUCA WOODS MILL PEDIATRICS
  • Facility Address: 226 SOUTH WOODSMILL ROAD 36W
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 453-9666
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KENNETH C. LEVY
  • NPI Number: 1023561156
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0440567
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WUCA WOODS MILL PEDIATRICS
Street 226 SOUTH WOODSMILL ROAD 36W
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 453-9666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KENNETH C. LEVY

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