26D0956436 CLIA NUMBER - ST CHARLES OBGYN CLINIC

Laboratory Demographics

  • CLIA Code: 26D0956436
  • Facility Name: ST CHARLES OBGYN CLINIC
  • Facility Address: 400 FIRST CAPITOL DR SUITE 201
    SAINT CHARLES, MO
    ZIP 63301
  • Facility Phone: 636 669-2332
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IGOR BRONDZ
  • NPI Number: 1063526804
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D0956436
LAB Type Physician Office
Facility Name ST CHARLES OBGYN CLINIC
Street 400 FIRST CAPITOL DR SUITE 201
City SAINT CHARLES
State MO
ZIP 63301
Phone 636 669-2332
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 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director IGOR BRONDZ

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