26D1007609 CLIA NUMBER - CENTER FOR WOMENS WELLNESS AND FETAL HEALTH

Laboratory Demographics

  • CLIA Code: 26D1007609
  • Facility Name: CENTER FOR WOMENS WELLNESS AND FETAL HEALTH
  • Facility Address: 3023 N BALLAS RD, BUILDING D, SUITE 450
    SAINT LOUIS, MO
    ZIP 63131
  • Facility Phone: 314 996-6072
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. POWELL
  • NPI Number: 1235144601
  • Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)

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CLIA Record

Field Name Field Value
CLIA Number 26D1007609
LAB Type Physician Office
Facility Name CENTER FOR WOMENS WELLNESS AND FETAL HEALTH
Street 3023 N BALLAS RD, BUILDING D, SUITE 450
City SAINT LOUIS
State MO
ZIP 63131
Phone 314 996-6072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director MATTHEW A. POWELL

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