26D0981911 CLIA NUMBER - WASHINGTON UNIV CARDIOLOGY CONSULTANTS

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Laboratory Demographics

CLIA Number: 26D0981911

Facility Name: WASHINGTON UNIV CARDIOLOGY CONSULTANTS

Facility Address:
1020 NORTH MASON SUITE 100
SAINT LOUIS, MO
ZIP 63141
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Facility Phone Number: 314 362-1291

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740674852

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	26D0981911
LAB Type	Physician Office
Facility Name	WASHINGTON UNIV CARDIOLOGY CONSULTANTS
Street	1020 NORTH MASON SUITE 100
City	SAINT LOUIS
State	MO
ZIP	63141
Phone	314 362-1291
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024