26D0930416 CLIA NUMBER - FOREST PARK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0930416
  • Facility Name: FOREST PARK PEDIATRICS
  • Facility Address: 4488 FOREST PARK AVENUE, SUITE 230
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 535-7855
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: ELIZABETH HARRISON
  • NPI Number: 1033254248
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0930416
LAB Type Practitioner Other
Facility Name FOREST PARK PEDIATRICS
Street 4488 FOREST PARK AVENUE, SUITE 230
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 535-7855
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Practitioner Other
Lab Director ELIZABETH HARRISON

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