26D0439072 CLIA NUMBER - SSM HEALTH MEDICAL GROUP KIRKWOOD OB/GYN

Laboratory Demographics

  • CLIA Code: 26D0439072
  • Facility Name: SSM HEALTH MEDICAL GROUP KIRKWOOD OB/GYN
  • Facility Address: 816 SOUTH KIRKWOOD RD, STE 100
    KIRKWOOD, MO
    ZIP 63122
  • Facility Phone: 314 644-6262
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL J. BAUMANN
  • NPI Number: 1316953656
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0439072
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUP KIRKWOOD OB/GYN
Street 816 SOUTH KIRKWOOD RD, STE 100
City KIRKWOOD
State MO
ZIP 63122
Phone 314 644-6262
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 DANIEL J. BAUMANN

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