26D2118076 CLIA NUMBER - WUCA O'FALLON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D2118076
  • Facility Name: WUCA O'FALLON PEDIATRICS
  • Facility Address: 20 PROGRESS POINT PKWY STE 220
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 344-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP D. REICHORT
  • NPI Number: 1366830572
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2118076
LAB Type Physician Office
Facility Name WUCA O'FALLON PEDIATRICS
Street 20 PROGRESS POINT PKWY STE 220
City O FALLON
State MO
ZIP 63368
Phone 636 344-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director PHILLIP D. REICHORT

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