26D2320273 CLIA NUMBER - MARYGROVE

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CLIA Record

Field Name Field Value
CLIA Number 26D2320273
LAB Type Other - RESIDENTIAL TREATMENT FOR
Facility Name MARYGROVE
Street 2705 MULLANPHY LANE
City FLORISSANT
State MO
ZIP 63031
Phone 314 830-6201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Other - RESIDENTIAL TREATMENT FOR
Lab Director PATRICIA A. FOSTER-STAPLES

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