26D2152023 CLIA NUMBER - CARDIO PULMONARY AFFILIATES

Laboratory Demographics

  • CLIA Code: 26D2152023
  • Facility Name: CARDIO PULMONARY AFFILIATES
  • Facility Address: 222 SOUTH WOODS MILL ROAD, SUITE 310 N
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 682-3630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL ETTINGER
  • NPI Number: 1275621070
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2152023
LAB Type Physician Office
Facility Name CARDIO PULMONARY AFFILIATES
Street 222 SOUTH WOODS MILL ROAD, SUITE 310 N
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 682-3630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director NEIL ETTINGER

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