26D2027831 CLIA NUMBER - MERCY CLINIC OB/GYN - 714 GRAVOIS ROAD

Laboratory Demographics

  • CLIA Code: 26D2027831
  • Facility Name: MERCY CLINIC OB/GYN - 714 GRAVOIS ROAD
  • Facility Address: 714 GRAVOIS ROAD, SUITE 115
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 717-6775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDI M. CARNS
  • NPI Number: 1144623786
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 26D2027831
LAB Type Physician Office
Facility Name MERCY CLINIC OB/GYN - 714 GRAVOIS ROAD
Street 714 GRAVOIS ROAD, SUITE 115
City FENTON
State MO
ZIP 63026
Phone 636 717-6775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director WENDI M. CARNS

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