26D0974021 CLIA NUMBER - SSM MEDICAL GROUP - SMIZER

Laboratory Demographics

  • CLIA Code: 26D0974021
  • Facility Name: SSM MEDICAL GROUP - SMIZER
  • Facility Address: 1345 SMIZER MLL ROAD SUITE 1100
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 496-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN DAVIS
  • NPI Number: 1700966207
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0974021
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP - SMIZER
Street 1345 SMIZER MLL ROAD SUITE 1100
City FENTON
State MO
ZIP 63026
Phone 636 496-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director SUSAN DAVIS

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