26D0676750 CLIA NUMBER - EPIPHANY DERMATOLOGY OF MISSOURI, LLC

Laboratory Demographics

  • CLIA Code: 26D0676750
  • Facility Name: EPIPHANY DERMATOLOGY OF MISSOURI, LLC
  • Facility Address: 8888 LADUE RD, STE 120
    SAINT LOUIS, MO
    ZIP 63124
  • Facility Phone: 314 344-0004
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SINO MEHRMAL
  • NPI Number: 1275046773
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0676750
LAB Type Physician Office
Facility Name EPIPHANY DERMATOLOGY OF MISSOURI, LLC
Street 8888 LADUE RD, STE 120
City SAINT LOUIS
State MO
ZIP 63124
Phone 314 344-0004
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director SINO MEHRMAL

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