WUCA-FENTON PEDIATRICS, LLC
NPI 1760953095
Clinic/Center - Multi-Specialty in Fenton, MO
About Wuca-fenton Pediatrics, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WUCA-FENTON PEDIATRICS, LLC (NPI 1760953095) is a healthcare organization registered as a multi-specialty in Fenton, Missouri and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.Information from the official NPPES registry record, last updated April 29, 2025.
NPPES Registry Identity
★ Primary Specialty
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0986227
- Facility Type
- Physician Office
- Certificate Effective Date
- May 10, 2025
- Certificate Expiration Date
- May 09, 2027
- Laboratory Director
- ISABEL FERNANDEZ-HOLTZMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wuca-fenton Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760953095, enumerated as an "organization" on December 16, 2018.
The provider is located at 714 GRAVOIS RD STE 200 FENTON, MO 63026 and the phone number is (636) 349-5437.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
