26D2024636 CLIA NUMBER - LADUE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 26D2024636
  • Facility Name: LADUE INTERNAL MEDICINE
  • Facility Address: 8857 LADUE RD
    LADUE, MO
    ZIP 63124
  • Facility Phone: 314 205-6495
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRI L. CARRON
  • NPI Number: 1689072324
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2024636
LAB Type Physician Office
Facility Name LADUE INTERNAL MEDICINE
Street 8857 LADUE RD
City LADUE
State MO
ZIP 63124
Phone 314 205-6495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director TERRI L. CARRON

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