26D0439597 CLIA NUMBER - SSM HEALTH MEDICAL GROUP - RONNIE'S PLAZA

Laboratory Demographics

  • CLIA Code: 26D0439597
  • Facility Name: SSM HEALTH MEDICAL GROUP - RONNIE'S PLAZA
  • Facility Address: 30 RONNIE'S PLAZA
    SAINT LOUIS, MO
    ZIP 63126
  • Facility Phone: 314 748-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUYCHE DANIELLE SANG
  • NPI Number: 1831391622
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0439597
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUP - RONNIE'S PLAZA
Street 30 RONNIE'S PLAZA
City SAINT LOUIS
State MO
ZIP 63126
Phone 314 748-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director TUYCHE DANIELLE SANG

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This page was last updated on: 3/20/2025