26D0858458 CLIA NUMBER - JAY MAHADEVAN MD

Laboratory Demographics

  • CLIA Code: 26D0858458
  • Facility Name: JAY MAHADEVAN MD
  • Facility Address: 7220 WATSON RD
    SAINT LOUIS, MO
    ZIP 63119
  • Facility Phone: 314 865-6585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY MAHADEVAN
  • NPI Number: 1386747715
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0858458
LAB Type Physician Office
Facility Name JAY MAHADEVAN MD
Street 7220 WATSON RD
City SAINT LOUIS
State MO
ZIP 63119
Phone 314 865-6585
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 JAY MAHADEVAN

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