26D1038943 CLIA NUMBER - BJC BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 26D1038943
  • Facility Name: BJC BEHAVIORAL HEALTH
  • Facility Address: 1085 MAPLE STREET
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: (314) 206-3700
  • Facility Type: Other - OUTPT MENTAL HEALTH CLINI
  • Facility Type: Waiver
  • Lab Director: ANGELA MARTIN-DAVIS
  • NPI Number: 1144351008
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1038943
LAB Type Other - OUTPT MENTAL HEALTH CLINI
Facility Name BJC BEHAVIORAL HEALTH
Street 1085 MAPLE STREET
City FARMINGTON
State MO
ZIP 63640
Phone 3142063700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Other - OUTPT MENTAL HEALTH CLINI
Lab Director ANGELA MARTIN-DAVIS

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This page was last updated on: 5/18/2026