26D0436838 CLIA NUMBER - MARTIN MC CLINTOCK MD

Laboratory Demographics

  • CLIA Code: 26D0436838
  • Facility Name: MARTIN MC CLINTOCK MD
  • Facility Address: 15421 CLAYTON
    BALLWIN, MO
    ZIP 63011
  • Facility Phone: 636 227-2707
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARTIN B. MCCLINTOCK
  • NPI Number: 1427046366
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0436838
LAB Type Physician Office
Facility Name MARTIN MC CLINTOCK MD
Street 15421 CLAYTON
City BALLWIN
State MO
ZIP 63011
Phone 636 227-2707
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARTIN B. MCCLINTOCK

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