26D0878773 CLIA NUMBER - BJC MEDICAL GROUP FAMILY MEDICINE AT CHESTERFIELD

Laboratory Demographics

  • CLIA Code: 26D0878773
  • Facility Name: BJC MEDICAL GROUP FAMILY MEDICINE AT CHESTERFIELD
  • Facility Address: 1751 CLARKSON ROAD
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 537-0377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. SNYDER
  • NPI Number: 1063448066
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0878773
LAB Type Physician Office
Facility Name BJC MEDICAL GROUP FAMILY MEDICINE AT CHESTERFIELD
Street 1751 CLARKSON ROAD
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 537-0377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director JENNIFER M. SNYDER

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