26D1040953 CLIA NUMBER - PATIENT CARE PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 26D1040953
  • Facility Name: PATIENT CARE PROFESSIONALS
  • Facility Address: 301 SOVEREIGN CT, STE 102
    BALLWIN, MO
    ZIP 63011
  • Facility Phone: 636 527-0722
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAN M. WINTER
  • NPI Number: 1295728616
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D1040953
LAB Type Home Health Agency
Facility Name PATIENT CARE PROFESSIONALS
Street 301 SOVEREIGN CT, STE 102
City BALLWIN
State MO
ZIP 63011
Phone 636 527-0722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Home Health Agency
Lab Director JAN M. WINTER

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