26D2278549 CLIA NUMBER - LONGEVITY CARE LLC

Laboratory Demographics

  • CLIA Code: 26D2278549
  • Facility Name: LONGEVITY CARE LLC
  • Facility Address: 15421 CLAYTON ROAD, SUITE G1
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 314 741-3800
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SIKANDER M. BAJWA
  • NPI Number: 1467158121
  • Taxonomy: 2083P0901X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2278549
LAB Type Independent
Facility Name LONGEVITY CARE LLC
Street 15421 CLAYTON ROAD, SUITE G1
City ELLISVILLE
State MO
ZIP 63011
Phone 314 741-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Independent
Lab Director SIKANDER M. BAJWA

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