26D2182445 CLIA NUMBER - DELLWOOD PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 26D2182445
  • Facility Name: DELLWOOD PHARMACY LLC
  • Facility Address: 9944 W FLORISSANT
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 868-3333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA A. MAWUENYEGA
  • NPI Number: 1194356667
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2182445
LAB Type Pharmacy
Facility Name DELLWOOD PHARMACY LLC
Street 9944 W FLORISSANT
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 868-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director REBECCA A. MAWUENYEGA

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