26D2000530 CLIA NUMBER - MERCY CLINIC PRIMARY CARE - 1001 S KIRKWOOD

Laboratory Demographics

  • CLIA Code: 26D2000530
  • Facility Name: MERCY CLINIC PRIMARY CARE - 1001 S KIRKWOOD
  • Facility Address: 1001 S KIRKWOOD ROAD, SUITE 300
    ST. LOUIS, MO
    ZIP 63122
  • Facility Phone: 314 525-4225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE E. BUSCH
  • NPI Number: 1538495353
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2000530
LAB Type Physician Office
Facility Name MERCY CLINIC PRIMARY CARE - 1001 S KIRKWOOD
Street 1001 S KIRKWOOD ROAD, SUITE 300
City ST. LOUIS
State MO
ZIP 63122
Phone 314 525-4225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director JULIE E. BUSCH

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