26D2162813 CLIA NUMBER - MERCY CLINIC INT MED

Laboratory Demographics

  • CLIA Code: 26D2162813
  • Facility Name: MERCY CLINIC INT MED
  • Facility Address: 6435 CHIPPEWA ST
    SAINT LOUIS, MO
    ZIP 63109
  • Facility Phone: 314 353-1870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN L. LUEDKE

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CLIA Record

Field Name Field Value
CLIA Number 26D2162813
LAB Type Physician Office
Facility Name MERCY CLINIC INT MED
Street 6435 CHIPPEWA ST
City SAINT LOUIS
State MO
ZIP 63109
Phone 314 353-1870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director SUSAN L. LUEDKE

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