26D0865667 CLIA NUMBER - WESTGLEN FAMILY PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 26D0865667
  • Facility Name: WESTGLEN FAMILY PHYSICIANS, LLC
  • Facility Address: 225 CLARKSON ROAD
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 314 230-5050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BARBARA OBRIEN
  • NPI Number: 1235284597
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0865667
LAB Type Physician Office
Facility Name WESTGLEN FAMILY PHYSICIANS, LLC
Street 225 CLARKSON ROAD
City ELLISVILLE
State MO
ZIP 63011
Phone 314 230-5050
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BARBARA OBRIEN

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