26D2152491 CLIA NUMBER - DANIEL D BEKELE, LLC

Laboratory Demographics

  • CLIA Code: 26D2152491
  • Facility Name: DANIEL D BEKELE, LLC
  • Facility Address: 6113 RIDGE AVENUE
    SAINT LOUIS, MO
    ZIP 63133
  • Facility Phone: 720 235-6443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL D. BEKELE
  • NPI Number: 1447762919
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 26D2152491
LAB Type Physician Office
Facility Name DANIEL D BEKELE, LLC
Street 6113 RIDGE AVENUE
City SAINT LOUIS
State MO
ZIP 63133
Phone 720 235-6443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DANIEL D. BEKELE

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