26D2313202 CLIA NUMBER - MERCY CLINIC HEART AND VASCULAR

Laboratory Demographics

  • CLIA Code: 26D2313202
  • Facility Name: MERCY CLINIC HEART AND VASCULAR
  • Facility Address: 10012 KENNERLY RD ST 300
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 842-0602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES CAREY
  • NPI Number: 1396931663
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2313202
LAB Type Physician Office
Facility Name MERCY CLINIC HEART AND VASCULAR
Street 10012 KENNERLY RD ST 300
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 842-0602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director CHARLES CAREY

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This page was last updated on: 3/20/2025