26D2231279 CLIA NUMBER - WENTZVILLE IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 26D2231279
  • Facility Name: WENTZVILLE IMAGING CENTER
  • Facility Address: 972 WENTZVILLE PKWY
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: (636) 327-8888
  • Facility Type: Other - MRI FACILITY
  • Facility Type: Waiver
  • Lab Director: TATE GREDITZER
  • NPI Number: 1700458296
  • Taxonomy: 261QR0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2231279
LAB Type Other - MRI FACILITY
Facility Name WENTZVILLE IMAGING CENTER
Street 972 WENTZVILLE PKWY
City WENTZVILLE
State MO
ZIP 63385
Phone 6363278888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Other - MRI FACILITY
Lab Director TATE GREDITZER

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: 6/29/2026