26D0864389 CLIA NUMBER - CONWAY INTERNIST

Laboratory Demographics

  • CLIA Code: 26D0864389
  • Facility Name: CONWAY INTERNIST
  • Facility Address: 121 ST LUKE'S CENTER DR SUITE 402
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 205-6160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL J. MARION
  • NPI Number: 1992816391
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0864389
LAB Type Physician Office
Facility Name CONWAY INTERNIST
Street 121 ST LUKE'S CENTER DR SUITE 402
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 205-6160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director DANIEL J. MARION

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