26D2164404 CLIA NUMBER - CARPENTERS' WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 26D2164404
  • Facility Name: CARPENTERS' WELLNESS CENTER
  • Facility Address: 1403 HAMPTON AVENUE
    SAINT LOUIS, MO
    ZIP 63139
  • Facility Phone: 866 434-3255
  • Facility Type: Other - EMPLOYEE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SHERRY TENGE
  • NPI Number: 1013479716
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2164404
LAB Type Other - EMPLOYEE HEALTH CLINIC
Facility Name CARPENTERS' WELLNESS CENTER
Street 1403 HAMPTON AVENUE
City SAINT LOUIS
State MO
ZIP 63139
Phone 866 434-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Other - EMPLOYEE HEALTH CLINIC
Lab Director SHERRY TENGE

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