26D2174394 CLIA NUMBER - VITAL LAB SERVICES INC

Laboratory Demographics

  • CLIA Code: 26D2174394
  • Facility Name: VITAL LAB SERVICES INC
  • Facility Address: 6439 PLYMOUTH AVE STE 127
    SAINT LOUIS, MO
    ZIP 63133
  • Facility Phone: 314 657-0000
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SHAUNICE N. SHELTON
  • NPI Number: 1336810472
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2174394
LAB Type Independent
Facility Name VITAL LAB SERVICES INC
Street 6439 PLYMOUTH AVE STE 127
City SAINT LOUIS
State MO
ZIP 63133
Phone 314 657-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Independent
Lab Director SHAUNICE N. SHELTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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