26D2110708 CLIA NUMBER - JOYCE D J JOHNSON MD

Laboratory Demographics

  • CLIA Code: 26D2110708
  • Facility Name: JOYCE D J JOHNSON MD
  • Facility Address: 965 MIDLAND BLVD
    SAINT LOUIS, MO
    ZIP 63130
  • Facility Phone: 314 781-5999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOYCE JOHNSON
  • NPI Number: 1801999768
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2110708
LAB Type Physician Office
Facility Name JOYCE D J JOHNSON MD
Street 965 MIDLAND BLVD
City SAINT LOUIS
State MO
ZIP 63130
Phone 314 781-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director JOYCE JOHNSON

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