26D2156056 CLIA NUMBER - PREMIER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D2156056
  • Facility Name: PREMIER PEDIATRICS
  • Facility Address: 5114 MIDAMERICA PLAZA SUITE 2C
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 859-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDEEP ROHATGI
  • NPI Number: 1083195762
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2156056
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS
Street 5114 MIDAMERICA PLAZA SUITE 2C
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 859-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director SANDEEP ROHATGI

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