26D2329085 CLIA NUMBER - INDEPENDENCE CENTER

Laboratory Demographics

  • CLIA Code: 26D2329085
  • Facility Name: INDEPENDENCE CENTER
  • Facility Address: 4245 FOREST PARK AVE
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 881-5885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH HARTZ
  • NPI Number: 1558494286
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2329085
LAB Type Physician Office
Facility Name INDEPENDENCE CENTER
Street 4245 FOREST PARK AVE
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 881-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director SARAH HARTZ

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