26D2120805 CLIA NUMBER - ST LOUIS EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 26D2120805
  • Facility Name: ST LOUIS EYE INSTITUTE
  • Facility Address: 1585 WOOELAKE DR STE 106
    TOWN AND COUNTRY, MO
    ZIP 63017
  • Facility Phone: 314 326-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM R. FEDYK
  • NPI Number: 1396161840
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D2120805
LAB Type Physician Office
Facility Name ST LOUIS EYE INSTITUTE
Street 1585 WOOELAKE DR STE 106
City TOWN AND COUNTRY
State MO
ZIP 63017
Phone 314 326-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director ADAM R. FEDYK

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