26D0713821 CLIA NUMBER - WUCA - BLUE FISH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0713821
  • Facility Name: WUCA - BLUE FISH PEDIATRICS
  • Facility Address: 1000 DES PERES ROAD, SUITE 280
    DES PERES, MO
    ZIP 63131
  • Facility Phone: 314 966-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY K. FINN
  • NPI Number: 1447223136
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0713821
LAB Type Physician Office
Facility Name WUCA - BLUE FISH PEDIATRICS
Street 1000 DES PERES ROAD, SUITE 280
City DES PERES
State MO
ZIP 63131
Phone 314 966-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GREGORY K. FINN

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