26D2156905 CLIA NUMBER - MERCY ENDOCRINOLOGY - JEFFERSON

Laboratory Demographics

  • CLIA Code: 26D2156905
  • Facility Name: MERCY ENDOCRINOLOGY - JEFFERSON
  • Facility Address: 1400 US HIGHWAY 61, STE 210
    FESTUS, MO
    ZIP 63028
  • Facility Phone: 636 933-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHRENIKA REDDY
  • NPI Number: 1083052492
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2156905
LAB Type Physician Office
Facility Name MERCY ENDOCRINOLOGY - JEFFERSON
Street 1400 US HIGHWAY 61, STE 210
City FESTUS
State MO
ZIP 63028
Phone 636 933-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director SHRENIKA REDDY

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