26D1015698 CLIA NUMBER - PREMIER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 26D1015698
  • Facility Name: PREMIER DERMATOLOGY
  • Facility Address: 456 N NEW BALLAS RD STE 118
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 567-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEFFREY REED
  • NPI Number: 1578776167
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1015698
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY
Street 456 N NEW BALLAS RD STE 118
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 567-1400
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 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director JEFFREY REED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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