26D0995475 CLIA NUMBER - SLUCARE FAMILY MEDICINE AT DES PERES

Laboratory Demographics

  • CLIA Code: 26D0995475
  • Facility Name: SLUCARE FAMILY MEDICINE AT DES PERES
  • Facility Address: 2315 DOUGHERTY FERRY RD, SUITE 205 MEDICAL ARTS PAVILION
    SAINT LOUIS, MO
    ZIP 63122
  • Facility Phone: 314 617-2224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANE TUCKER
  • NPI Number: 1487627717
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0995475
LAB Type Physician Office
Facility Name SLUCARE FAMILY MEDICINE AT DES PERES
Street 2315 DOUGHERTY FERRY RD, SUITE 205 MEDICAL ARTS PAVILION
City SAINT LOUIS
State MO
ZIP 63122
Phone 314 617-2224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director JANE TUCKER

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This page was last updated on: 6/4/2025