26D0919798 CLIA NUMBER - PATTONVILLE-BRIDGETON TERRACE FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0919798
  • Facility Name: PATTONVILLE-BRIDGETON TERRACE FIRE DISTRICT
  • Facility Address: 13900 ST CHARLES ROCK ROAD
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 739-3118
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MATT LAVANCHY
  • NPI Number: 1457327850
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919798
LAB Type Other
Facility Name PATTONVILLE-BRIDGETON TERRACE FIRE DISTRICT
Street 13900 ST CHARLES ROCK ROAD
City BRIDGETON
State MO
ZIP 63044
Phone 314 739-3118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Other
Lab Director MATT LAVANCHY

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