VITAL LAB SERVICES, INC
NPI 1336810472
Clinical Medical Laboratory in Saint Louis, MO

Active since September 27, 2021CLIA 26D2174394 · Waiver
6439 PLYMOUTH AVE STE 127, SAINT LOUIS, MO 63133(636) 465-3004(314) 833-3170 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vital Lab Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL LAB SERVICES, INC (NPI 1336810472) is a healthcare organization registered as a clinical medical laboratory in Saint Louis, Missouri and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Shaunice Shelton, Director, as its authorized official.

NPPES Registry Identity

NPI1336810472
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVITAL LAB SERVICES, INC
Location Address6439 PLYMOUTH AVE STE 127Saint Louis, MO 63133-1940
Mailing Address6439 Plymouth Ave Ste 127Saint Louis, MO 63133-1940 · (636) 465-3004 · Fax (314) 833-3170
Fax(314) 833-3170
Organization SubpartNo
Authorized OfficialShaunice SheltonDirector · (636) 465-3004
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1336810472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
6439 PLYMOUTH AVE STE 127, Saint Louis, MO 63133

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2174394

Vital Lab Services Inc · Saint Louis, MO
Active · expires Oct 30, 2027
CLIA Number26D2174394
Laboratory TypeIndependent
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorShaunice N. Shelton
Laboratory Phone(314) 657-0000
Laboratory LocationVital Lab Services Inc6439 Plymouth Ave Ste 127, Saint Louis, MO 63133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6439 PLYMOUTH AVE STE 127
SAINT LOUIS, MO 63133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Lab Services, Inc's NPI number?

The NPI number for Vital Lab Services, Inc is 1336810472. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Vital Lab Services, Inc located?

Vital Lab Services, Inc is located at 6439 Plymouth Ave Ste 127, Saint Louis, MO 63133. The listed phone number is (636) 465-3004.

What is Vital Lab Services, Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Vital Lab Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2174394) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vital Lab Services, Inc was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.