26D1066775 CLIA NUMBER - MERCY HOSPITAL ENDOSCOPY CENTER DES PERES

Laboratory Demographics

  • CLIA Code: 26D1066775
  • Facility Name: MERCY HOSPITAL ENDOSCOPY CENTER DES PERES
  • Facility Address: 12990 MANCHESTER ROAD
    DES PERES, MO
    ZIP 63131
  • Facility Phone: 314 251-1436
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: XUELI HAO
  • NPI Number: 1487739033
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D1066775
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MERCY HOSPITAL ENDOSCOPY CENTER DES PERES
Street 12990 MANCHESTER ROAD
City DES PERES
State MO
ZIP 63131
Phone 314 251-1436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director XUELI HAO

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