26D0440801 CLIA NUMBER - WUCA SUBURBAN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0440801
  • Facility Name: WUCA SUBURBAN PEDIATRICS
  • Facility Address: 456 N NEW BALLAS ROAD, STE 304
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 567-6868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA M. AYERS
  • NPI Number: 1942949482
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0440801
LAB Type Physician Office
Facility Name WUCA SUBURBAN PEDIATRICS
Street 456 N NEW BALLAS ROAD, STE 304
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 567-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director SARA M. AYERS

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