26D0719935 CLIA NUMBER - ESSE HEALTH

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Laboratory Demographics

CLIA Number: 26D0719935

Facility Name: ESSE HEALTH

Facility Address:
12345 WEST BEND DRIVE, STE 300
SAINT LOUIS, MO
ZIP 63128
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Facility Phone Number: 314 849-6000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104503663

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	26D0719935
LAB Type	Physician Office
Facility Name	ESSE HEALTH
Street	12345 WEST BEND DRIVE, STE 300
City	SAINT LOUIS
State	MO
ZIP	63128
Phone	314 849-6000
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	Waiver

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