26D0878448 CLIA NUMBER - WEST COUNTY PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D0878448
  • Facility Name: WEST COUNTY PEDIATRIC ASSOCIATES
  • Facility Address: 16555 MANCHESTER ROAD SUITE 204
    GROVER, MO
    ZIP 63040
  • Facility Phone: 636 458-0040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. CARNEY
  • NPI Number: 1194125195
  • Taxonomy: 207RI0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0878448
LAB Type Physician Office
Facility Name WEST COUNTY PEDIATRIC ASSOCIATES
Street 16555 MANCHESTER ROAD SUITE 204
City GROVER
State MO
ZIP 63040
Phone 636 458-0040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director MICHAEL J. CARNEY

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