26D2118610 CLIA NUMBER - MERCY CLINIC PRIMARY CARE BUTLER HILL

Laboratory Demographics

  • CLIA Code: 26D2118610
  • Facility Name: MERCY CLINIC PRIMARY CARE BUTLER HILL
  • Facility Address: 4280 MID AMERICA DRIVE
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 782-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW M. BRYANT
  • NPI Number: 1053507269
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2118610
LAB Type Physician Office
Facility Name MERCY CLINIC PRIMARY CARE BUTLER HILL
Street 4280 MID AMERICA DRIVE
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 782-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director ANDREW M. BRYANT

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