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

Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 314 996-6072

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1235144601

Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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
CertificateType 4
CertificateEffectiveDate 12/23/2022
CertificateExpirationDate 12/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024