26D2032347 CLIA NUMBER - MEDWIN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 26D2032347
  • Facility Name: MEDWIN PRIMARY CARE
  • Facility Address: 1688 OLD GRAVOIS RD
    HIGH RIDGE, MO
    ZIP 63049
  • Facility Phone: 636 461-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: K R CHADALAWADA
  • NPI Number: 1376552067
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2032347
LAB Type Physician Office
Facility Name MEDWIN PRIMARY CARE
Street 1688 OLD GRAVOIS RD
City HIGH RIDGE
State MO
ZIP 63049
Phone 636 461-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director K R CHADALAWADA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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