26D2178225 CLIA NUMBER - EPIPHANY DERMATOLOGY OF MISSOURI, LLC

Laboratory Demographics

  • CLIA Code: 26D2178225
  • Facility Name: EPIPHANY DERMATOLOGY OF MISSOURI, LLC
  • Facility Address: 1493 COTTLEVILLE PKWY
    COTTLEVILLE, MO
    ZIP 63376
  • Facility Phone: (636) 317-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STACEY S. TULL

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2178225
LAB Type Physician Office
Facility Name EPIPHANY DERMATOLOGY OF MISSOURI, LLC
Street 1493 COTTLEVILLE PKWY
City COTTLEVILLE
State MO
ZIP 63376
Phone 6363173376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director STACEY S. TULL

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: 5/18/2026