26D2159999 CLIA NUMBER - ALLERGY, ASTHMA & SINUS CARE CENTER

Laboratory Demographics

CLIA Number: 26D2159999

Facility Name: ALLERGY, ASTHMA & SINUS CARE CENTER

Facility Address:
9701 LANDMARK PARKWAY DRIVE STE 207
SAINT LOUIS, MO
ZIP 63127
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Facility Phone Number: 314 849-8700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417034695

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	26D2159999
LAB Type	Physician Office
Facility Name	ALLERGY, ASTHMA & SINUS CARE CENTER
Street	9701 LANDMARK PARKWAY DRIVE STE 207
City	SAINT LOUIS
State	MO
ZIP	63127
Phone	314 849-8700
CertificateType	4
CertificateEffectiveDate	1/2/2023
CertificateExpirationDate	1/1/2025
FacilityType	Waiver

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