26D2133670 CLIA NUMBER - MERCY CLINIC EYE SPECIALISTS

Laboratory Demographics

CLIA Number: 26D2133670

Facility Name: MERCY CLINIC EYE SPECIALISTS

Facility Address:
621 SOUTH NEW BALLAS SUITE 5006B
SAINT LOUIS, MO
ZIP 63141
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Facility Phone Number: 314 251-5300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750618351

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2133670
LAB Type	Physician Office
Facility Name	MERCY CLINIC EYE SPECIALISTS
Street	621 SOUTH NEW BALLAS SUITE 5006B
City	SAINT LOUIS
State	MO
ZIP	63141
Phone	314 251-5300
CertificateType	4
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	7/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024