26D1013840 CLIA NUMBER - TIMBERLAKE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D1013840
  • Facility Name: TIMBERLAKE SURGERY CENTER
  • Facility Address: 14825 N OUTER FORTY RD, STE 100
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 898-4695
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VAFA FOROUGHI
  • NPI Number: 1346292372
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1013840
LAB Type Ambulatory Surgery Center
Facility Name TIMBERLAKE SURGERY CENTER
Street 14825 N OUTER FORTY RD, STE 100
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 898-4695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Ambulatory Surgery Center
Lab Director VAFA FOROUGHI

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