26D0439629 CLIA NUMBER - SAM HAWATMEH MD PC

Laboratory Demographics

  • CLIA Code: 26D0439629
  • Facility Name: SAM HAWATMEH MD PC
  • Facility Address: 12345 WEST BEND DRIVE, SUITE 304
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 631-2030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAM HAWATMEH MD
  • NPI Number: 1952345795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0439629
LAB Type Physician Office
Facility Name SAM HAWATMEH MD PC
Street 12345 WEST BEND DRIVE, SUITE 304
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 631-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SAM HAWATMEH MD

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