26D1009805 CLIA NUMBER - SSM HEALTH ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 26D1009805
  • Facility Name: SSM HEALTH ENDOSCOPY CENTER
  • Facility Address: 4203 S CLOVERLEAF DRIVE
    SAINT PETERS, MO
    ZIP 63303
  • Facility Phone: 636 928-0087
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD GEISMAN
  • NPI Number: 1548578750
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D1009805
LAB Type Ambulatory Surgery Center
Facility Name SSM HEALTH ENDOSCOPY CENTER
Street 4203 S CLOVERLEAF DRIVE
City SAINT PETERS
State MO
ZIP 63303
Phone 636 928-0087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulatory Surgery Center
Lab Director RICHARD GEISMAN

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