26D1003380 CLIA NUMBER - MISSOURI BAPTIST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 26D1003380
  • Facility Name: MISSOURI BAPTIST MEDICAL CENTER
  • Facility Address: 3844 S LINDBERGH BOULEVARD
    SAINT LOUIS, MO
    ZIP 63127
  • Facility Phone: 314 525-0550
  • Facility Type: Other - CANCER CENTER/RADIOLOGY
  • Facility Type: Certificate of Compliance
  • Lab Director: DALE SELBY
  • NPI Number: 1568594232
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 26D1003380
LAB Type Other - CANCER CENTER/RADIOLOGY
Facility Name MISSOURI BAPTIST MEDICAL CENTER
Street 3844 S LINDBERGH BOULEVARD
City SAINT LOUIS
State MO
ZIP 63127
Phone 314 525-0550
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Other - CANCER CENTER/RADIOLOGY
Lab Director DALE SELBY

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