26D0872684 CLIA NUMBER - SLUCARE PHYSICIAN GROUP DERM MOHS CSM

Laboratory Demographics

  • CLIA Code: 26D0872684
  • Facility Name: SLUCARE PHYSICIAN GROUP DERM MOHS CSM
  • Facility Address: 1225 S GRAND BLVD, 3RD FLOOR
    SAINT LOUIS, MO
    ZIP 63104
  • Facility Phone: 314 617-2709
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: RAMONA BEHSHAD
  • NPI Number: 1114990454
  • Taxonomy: 2086S0120X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D0872684
LAB Type Independent
Facility Name SLUCARE PHYSICIAN GROUP DERM MOHS CSM
Street 1225 S GRAND BLVD, 3RD FLOOR
City SAINT LOUIS
State MO
ZIP 63104
Phone 314 617-2709
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Independent
Lab Director RAMONA BEHSHAD

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