26D0672523 CLIA NUMBER - SSM MEDICAL GROUP ST CLARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0672523
  • Facility Name: SSM MEDICAL GROUP ST CLARE PEDIATRICS
  • Facility Address: 1345 SMIZER MILL ROAD, SUITE 1200
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 496-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANTIAGO PLURAD
  • NPI Number: 1275781288
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0672523
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP ST CLARE PEDIATRICS
Street 1345 SMIZER MILL ROAD, SUITE 1200
City FENTON
State MO
ZIP 63026
Phone 636 496-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director SANTIAGO PLURAD

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