26D1056761 CLIA NUMBER - WINGHAVEN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 26D1056761
  • Facility Name: WINGHAVEN PEDIATRICS LLC
  • Facility Address: 5551 WINGHAVEN BLVD, STE 240
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 379-3379
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALISON H. OSWALD MD
  • NPI Number: 1992836506
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D1056761
LAB Type Physician Office
Facility Name WINGHAVEN PEDIATRICS LLC
Street 5551 WINGHAVEN BLVD, STE 240
City O FALLON
State MO
ZIP 63368
Phone 636 379-3379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director ALISON H. OSWALD MD

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