26D0932833 CLIA NUMBER - TRI-COUNTY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 26D0932833
  • Facility Name: TRI-COUNTY FAMILY PRACTICE
  • Facility Address: 5551 WINGHAVEN BOULEVARD SUITE 142
    OFALLON, MO
    ZIP 63366
  • Facility Phone: 636 695-2510
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: NELSON G. USRY
  • NPI Number: 1285720169
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0932833
LAB Type Other
Facility Name TRI-COUNTY FAMILY PRACTICE
Street 5551 WINGHAVEN BOULEVARD SUITE 142
City OFALLON
State MO
ZIP 63366
Phone 636 695-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Other
Lab Director NELSON G. USRY

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