26D0985652 CLIA NUMBER - OLD TESSON SURGERY CENTER, LP

Laboratory Demographics

  • CLIA Code: 26D0985652
  • Facility Name: OLD TESSON SURGERY CENTER, LP
  • Facility Address: 12639 OLD TESSON SUITE 130
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: (314) 748-4225
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT MEDLER
  • NPI Number: 1104082692
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0985652
LAB Type Ambulatory Surgery Center
Facility Name OLD TESSON SURGERY CENTER, LP
Street 12639 OLD TESSON SUITE 130
City SAINT LOUIS
State MO
ZIP 63128
Phone 3147484225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT MEDLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026