26D2289954 CLIA NUMBER - PARAGON INFUSION

Laboratory Demographics

  • CLIA Code: 26D2289954
  • Facility Name: PARAGON INFUSION
  • Facility Address: 12669 OLIVE BLD SUITE 9
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: (314) 710-5021
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE SHOCKLEY
  • NPI Number: 1134821309
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2289954
LAB Type Physician Office
Facility Name PARAGON INFUSION
Street 12669 OLIVE BLD SUITE 9
City SAINT LOUIS
State MO
ZIP 63141
Phone 3147105021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director MELANIE SHOCKLEY

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This page was last updated on: 5/18/2026