26D2298163 CLIA NUMBER - WUCA - MONARCH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D2298163
  • Facility Name: WUCA - MONARCH PEDIATRICS
  • Facility Address: 845 N NEW BALLAS CT, STE 205
    CREVE COEUR, MO
    ZIP 63141
  • Facility Phone: 314 859-4460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN NICASTRO
  • NPI Number: 1770356289
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2298163
LAB Type Physician Office
Facility Name WUCA - MONARCH PEDIATRICS
Street 845 N NEW BALLAS CT, STE 205
City CREVE COEUR
State MO
ZIP 63141
Phone 314 859-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director ELLEN NICASTRO

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