26D1023074 CLIA NUMBER - SSM MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 26D1023074
  • Facility Name: SSM MEDICAL GROUP
  • Facility Address: 1035 BELLEVUE AVE, STE 400
    SAINT LOUIS, MO
    ZIP 63117
  • Facility Phone: 314 647-1115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN M. IRVINE
  • NPI Number: 1144430281
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1023074
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP
Street 1035 BELLEVUE AVE, STE 400
City SAINT LOUIS
State MO
ZIP 63117
Phone 314 647-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director SUSAN M. IRVINE

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