26D2185469 CLIA NUMBER - MIDWEST INNOVATION LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 26D2185469
  • Facility Name: MIDWEST INNOVATION LABORATORY LLC
  • Facility Address: 11475 OLDE CABIN RD, STE# 150
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 408-3394
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM H. BOYCE
  • NPI Number: 1942825633
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2185469
LAB Type Independent
Facility Name MIDWEST INNOVATION LABORATORY LLC
Street 11475 OLDE CABIN RD, STE# 150
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 408-3394
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Independent
Lab Director DR. WILLIAM H. BOYCE

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