26D0724338 CLIA NUMBER - GRANT MEDICAL & DIABETES ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D0724338
  • Facility Name: GRANT MEDICAL & DIABETES ASSOCIATES
  • Facility Address: 4320 FOREST PARK AVE, STE 1100
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 333-4100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: EMMANUEL A. VENKATESAN
  • NPI Number: 1669405544
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0724338
LAB Type Physician Office
Facility Name GRANT MEDICAL & DIABETES ASSOCIATES
Street 4320 FOREST PARK AVE, STE 1100
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 333-4100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director EMMANUEL A. VENKATESAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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