26D2322339 CLIA NUMBER - SLUCARE FAMILY AND COMMUNITY MEDICINE CLINICS

Laboratory Demographics

CLIA Code: 26D2322339
Facility Name: SLUCARE FAMILY AND COMMUNITY MEDICINE CLINICS
Facility Address: 1225 S GRAND AVE
SAINT LOUIS, MO
ZIP 63104
Facility Phone: 314 257-1022
Facility Type: Hospital
Facility Type: Waiver
Lab Director: TIMOTHY S. ISBELL
NPI Number: 1215468491
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	26D2322339
LAB Type	Hospital
Facility Name	SLUCARE FAMILY AND COMMUNITY MEDICINE CLINICS
Street	1225 S GRAND AVE
City	SAINT LOUIS
State	MO
ZIP	63104
Phone	314 257-1022
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/18/2025
Certificate Expiration Date	4/17/2027
Facility Type	Hospital
Lab Director	TIMOTHY S. ISBELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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