26D1035636 CLIA NUMBER - RIA MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 26D1035636
  • Facility Name: RIA MEDICAL LLC
  • Facility Address: 105 CREEKSIDE OFFICE DRIVE
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 639-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: POOJA PATIL
  • NPI Number: 1174615025
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1035636
LAB Type Physician Office
Facility Name RIA MEDICAL LLC
Street 105 CREEKSIDE OFFICE DRIVE
City WENTZVILLE
State MO
ZIP 63385
Phone 636 639-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director POOJA PATIL

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