26D0441352 CLIA NUMBER - SSM HEALTH MEDICAL GROUP

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Field Name	Field Value
CLIA Number	26D0441352
LAB Type	Physician Office
Facility Name	SSM HEALTH MEDICAL GROUP
Street	172 PROFESSIONAL PARKWAY
City	TROY
State	MO
ZIP	63379
Phone	636 462-6106
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	4/26/2024
Certificate Expiration Date	4/25/2026
Facility Type	Physician Office
Lab Director	STANLEY SACHAK

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