26D2103940 CLIA NUMBER - PALM INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 26D2103940
  • Facility Name: PALM INTEGRATIVE MEDICINE
  • Facility Address: 9160 CLAYTON ROAD
    LADUE, MO
    ZIP 63124
  • Facility Phone: 314 801-8898
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SITA KEDIA
  • NPI Number: 1326422577
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2103940
LAB Type Physician Office
Facility Name PALM INTEGRATIVE MEDICINE
Street 9160 CLAYTON ROAD
City LADUE
State MO
ZIP 63124
Phone 314 801-8898
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director SITA KEDIA

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