26D2179953 CLIA NUMBER - FIRST CAPITOL CHIROPRACTIC & REHAB

Laboratory Demographics

  • CLIA Code: 26D2179953
  • Facility Name: FIRST CAPITOL CHIROPRACTIC & REHAB
  • Facility Address: 605 FIRST CAPITOL DRIVE
    ST CHARLES, MO
    ZIP 63301
  • Facility Phone: 636 946-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK T. HOLLAND
  • NPI Number: 1730352394
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2179953
LAB Type Physician Office
Facility Name FIRST CAPITOL CHIROPRACTIC & REHAB
Street 605 FIRST CAPITOL DRIVE
City ST CHARLES
State MO
ZIP 63301
Phone 636 946-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director MARK T. HOLLAND

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