26D0705734 CLIA NUMBER - LAWRENCE E SAMUELS MD INC

Laboratory Demographics

  • CLIA Code: 26D0705734
  • Facility Name: LAWRENCE E SAMUELS MD INC
  • Facility Address: 222 SO WOODMILL STE 480N
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 576-7336
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAWRENCE E. SAMUELS MD
  • NPI Number: 1598870180
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 26D0705734
LAB Type Physician Office
Facility Name LAWRENCE E SAMUELS MD INC
Street 222 SO WOODMILL STE 480N
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 576-7336
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 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director LAWRENCE E. SAMUELS MD

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