26D0440706 CLIA NUMBER - WEST COUNTY MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D0440706
  • Facility Name: WEST COUNTY MEDICAL ASSOCIATES
  • Facility Address: 3009 N BALLAS ROAD, SUITE 383C
    ST. LOUIS, MO
    ZIP 63131
  • Facility Phone: 314 996-4545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW GOLD
  • NPI Number: 1083067649
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 26D0440706
LAB Type Physician Office
Facility Name WEST COUNTY MEDICAL ASSOCIATES
Street 3009 N BALLAS ROAD, SUITE 383C
City ST. LOUIS
State MO
ZIP 63131
Phone 314 996-4545
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 ANDREW GOLD

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