26D2002171 CLIA NUMBER - MERCY CLINIC EAST COMMUNITITES FAMILY MEDICINE KIRKWOOD

Laboratory Demographics

  • CLIA Code: 26D2002171
  • Facility Name: MERCY CLINIC EAST COMMUNITITES FAMILY MEDICINE KIRKWOOD
  • Facility Address: 10700 MANCHESTER ROAD, SUITE D
    KIRKWOOD, MO
    ZIP 63122
  • Facility Phone: 314 822-6830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN P. KING
  • NPI Number: 1851553598
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2002171
LAB Type Physician Office
Facility Name MERCY CLINIC EAST COMMUNITITES FAMILY MEDICINE KIRKWOOD
Street 10700 MANCHESTER ROAD, SUITE D
City KIRKWOOD
State MO
ZIP 63122
Phone 314 822-6830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director KEVIN P. KING

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