26D0441258 CLIA NUMBER - WUCA NORTHWEST PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 26D0441258
  • Facility Name: WUCA NORTHWEST PEDIATRICS, LLC
  • Facility Address: 11 GARVEY PARKWAY
    SAINT CHARLES, MO
    ZIP 63303
  • Facility Phone: 636 441-7280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNY MIELE
  • NPI Number: 1083954861
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0441258
LAB Type Physician Office
Facility Name WUCA NORTHWEST PEDIATRICS, LLC
Street 11 GARVEY PARKWAY
City SAINT CHARLES
State MO
ZIP 63303
Phone 636 441-7280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JENNY MIELE

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