26D0439869 CLIA NUMBER - DERMATOLOGICAL CARE INC

Laboratory Demographics

  • CLIA Code: 26D0439869
  • Facility Name: DERMATOLOGICAL CARE INC
  • Facility Address: 12200 WEBER HILL RD, STE 200
    SAINT LOUIS, MO
    ZIP 63127
  • Facility Phone: 314 842-5660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAWRENCE WANG
  • NPI Number: 1720005770
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0439869
LAB Type Physician Office
Facility Name DERMATOLOGICAL CARE INC
Street 12200 WEBER HILL RD, STE 200
City SAINT LOUIS
State MO
ZIP 63127
Phone 314 842-5660
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 LAWRENCE WANG

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