26D2324917 CLIA NUMBER - DRAVEXIUM LLC

Laboratory Demographics

  • CLIA Code: 26D2324917
  • Facility Name: DRAVEXIUM LLC
  • Facility Address: 3910 S OLD HIGHWAY 94 STE 102
    SAINT CHARLES, MO
    ZIP 63304
  • Facility Phone: 502 907-8553
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JOSEPH LIN
  • NPI Number: 1144010794
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 26D2324917
LAB Type Independent
Facility Name DRAVEXIUM LLC
Street 3910 S OLD HIGHWAY 94 STE 102
City SAINT CHARLES
State MO
ZIP 63304
Phone 502 907-8553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Independent
Lab Director JOSEPH LIN

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