26D2092954 CLIA NUMBER - COFACTOR GENOMICS

Laboratory Demographics

  • CLIA Code: 26D2092954
  • Facility Name: COFACTOR GENOMICS
  • Facility Address: 4044 CLAYTON AVE
    SAINT LOUIS, MO
    ZIP 63110
  • Facility Phone: 314 531-4647
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ERIC J. DUNCAVAGE
  • NPI Number: 1568127611
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 26D2092954
LAB Type Independent
Facility Name COFACTOR GENOMICS
Street 4044 CLAYTON AVE
City SAINT LOUIS
State MO
ZIP 63110
Phone 314 531-4647
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/19/2023
Certificate Expiration Date 7/18/2025
Facility Type Independent
Lab Director DR. ERIC J. DUNCAVAGE

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This page was last updated on: 6/4/2025