26D2257926 CLIA NUMBER - HEALTHWISE ADVANCED PRACTICE PARTNERS

Laboratory Demographics

  • CLIA Code: 26D2257926
  • Facility Name: HEALTHWISE ADVANCED PRACTICE PARTNERS
  • Facility Address: 1405 PINE STREET SUITE 203
    SAINT LOUIS, MO
    ZIP 63103
  • Facility Phone: 314 500-0716
  • Facility Type: Other - DOT EXAM, GENERAL LABS SE
  • Facility Type: Waiver
  • Lab Director: LAQUITA LEWIS
  • NPI Number: 1801524319
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2257926
LAB Type Other - DOT EXAM, GENERAL LABS SE
Facility Name HEALTHWISE ADVANCED PRACTICE PARTNERS
Street 1405 PINE STREET SUITE 203
City SAINT LOUIS
State MO
ZIP 63103
Phone 314 500-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Other - DOT EXAM, GENERAL LABS SE
Lab Director LAQUITA LEWIS

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