26D1046774 CLIA NUMBER - SLUCARE PHYSICIAN GROUP GEN DERM CLINIC DES PERES

Laboratory Demographics

  • CLIA Code: 26D1046774
  • Facility Name: SLUCARE PHYSICIAN GROUP GEN DERM CLINIC DES PERES
  • Facility Address: 2315 DOUGHERTY FERRY RD, STE 200B
    SAINT LOUIS, MO
    ZIP 63122
  • Facility Phone: 314 617-2709
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIA Y. HURLEY
  • NPI Number: 1013029982
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1046774
LAB Type Physician Office
Facility Name SLUCARE PHYSICIAN GROUP GEN DERM CLINIC DES PERES
Street 2315 DOUGHERTY FERRY RD, STE 200B
City SAINT LOUIS
State MO
ZIP 63122
Phone 314 617-2709
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director MARIA Y. HURLEY

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