26D0867630 CLIA NUMBER - ASSOCIATED SPECIALISTS IN MEDICINE PC

Laboratory Demographics

  • CLIA Code: 26D0867630
  • Facility Name: ASSOCIATED SPECIALISTS IN MEDICINE PC
  • Facility Address: 969 N MASON RD SUITE 240
    CREVE COEUR, MO
    ZIP 63141
  • Facility Phone: 314 542-0606
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY P. TILLINGHAST
  • NPI Number: 1306062955
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 26D0867630
LAB Type Physician Office
Facility Name ASSOCIATED SPECIALISTS IN MEDICINE PC
Street 969 N MASON RD SUITE 240
City CREVE COEUR
State MO
ZIP 63141
Phone 314 542-0606
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 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director JEFFREY P. TILLINGHAST

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