26D0972912 CLIA NUMBER - SSM HEALTH MEDICAL GROUP-FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 26D0972912
  • Facility Name: SSM HEALTH MEDICAL GROUP-FAMILY MEDICINE
  • Facility Address: 2511 W EDGEWOOD, SUITE F
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 761-7979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNA YOUNKER
  • NPI Number: 1669856829
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0972912
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUP-FAMILY MEDICINE
Street 2511 W EDGEWOOD, SUITE F
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 761-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director JOANNA YOUNKER

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