26D0440567 CLIA NUMBER - WUCA WOODS MILL PEDIATRICS

Laboratory Demographics

CLIA Number: 26D0440567

Facility Name: WUCA WOODS MILL PEDIATRICS

Facility Address:
226 SOUTH WOODSMILL ROAD 36W
CHESTERFIELD, MO
ZIP 63017
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Facility Phone Number: 314 453-9666

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1023561156

Taxonomy: 261QM1300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024