26D1037057 CLIA NUMBER - DR M K ONIFADE INTERNAL MEDICINE PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 26D1037057
  • Facility Name: DR M K ONIFADE INTERNAL MEDICINE PRACTICE LLC
  • Facility Address: 2880 NETHERTON DR, STE 200
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 355-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOYOSORE K. ONIFADE

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CLIA Record

Field Name Field Value
CLIA Number 26D1037057
LAB Type Physician Office
Facility Name DR M K ONIFADE INTERNAL MEDICINE PRACTICE LLC
Street 2880 NETHERTON DR, STE 200
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 355-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director MOYOSORE K. ONIFADE

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This page was last updated on: 3/20/2025