26D0676438 CLIA NUMBER - SOUTH COUNTY UROLOGICAL

Laboratory Demographics

  • CLIA Code: 26D0676438
  • Facility Name: SOUTH COUNTY UROLOGICAL
  • Facility Address: 12345 WEST BEND DRIVE
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 843-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABRAHAM S. HAWATMEH MD
  • NPI Number: 1881702728
  • Taxonomy: 2085B0100X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 26D0676438
LAB Type Physician Office
Facility Name SOUTH COUNTY UROLOGICAL
Street 12345 WEST BEND DRIVE
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 843-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director ABRAHAM S. HAWATMEH MD

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