26D1029508 CLIA NUMBER - GEROMED LLC

Laboratory Demographics

  • CLIA Code: 26D1029508
  • Facility Name: GEROMED LLC
  • Facility Address: 4675 SOUTH GRAND BLVD
    SAINT LOUIS, MO
    ZIP 63111
  • Facility Phone: 314 752-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONY T. TANG
  • NPI Number: 1184755118
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1029508
LAB Type Physician Office
Facility Name GEROMED LLC
Street 4675 SOUTH GRAND BLVD
City SAINT LOUIS
State MO
ZIP 63111
Phone 314 752-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director TONY T. TANG

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