26D1082148 CLIA NUMBER - RIVERSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D1082148
  • Facility Name: RIVERSIDE PEDIATRICS
  • Facility Address: 1707 HERITAGE HILLS DRIVE
    WASHINGTON, MO
    ZIP 63090
  • Facility Phone: 636 390-9100
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. BEUMER
  • NPI Number: 1831344043
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D1082148
LAB Type Mobile Laboratory
Facility Name RIVERSIDE PEDIATRICS
Street 1707 HERITAGE HILLS DRIVE
City WASHINGTON
State MO
ZIP 63090
Phone 636 390-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Mobile Laboratory
Lab Director MICHELLE L. BEUMER

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