26D2128253 CLIA NUMBER - SLUCARE PHYSCIAN GROUP

Laboratory Demographics

  • CLIA Code: 26D2128253
  • Facility Name: SLUCARE PHYSCIAN GROUP
  • Facility Address: 6400 CLAYTON ROAD SUITE 201
    SAINT LOUIS, MO
    ZIP 63117
  • Facility Phone: 314 977-3605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELE WEBB
  • NPI Number: 1194892463
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2128253
LAB Type Physician Office
Facility Name SLUCARE PHYSCIAN GROUP
Street 6400 CLAYTON ROAD SUITE 201
City SAINT LOUIS
State MO
ZIP 63117
Phone 314 977-3605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director DANIELE WEBB

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