26D0873246 CLIA NUMBER - BETHESDA SOUTHGATE

Laboratory Demographics

  • CLIA Code: 26D0873246
  • Facility Name: BETHESDA SOUTHGATE
  • Facility Address: 5943 TELEGRAPH ROAD
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 846-2000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER REYNOLDS
  • NPI Number: 1750357950
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0873246
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHESDA SOUTHGATE
Street 5943 TELEGRAPH ROAD
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 846-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTOPHER REYNOLDS

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