26D1060409 CLIA NUMBER - NAYAK PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D1060409
  • Facility Name: NAYAK PLASTIC SURGERY CENTER
  • Facility Address: 607 S LINDBERGH BLVD
    SAINT LOUIS, MO
    ZIP 63131
  • Facility Phone: 314 991-5438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: L MIKE NAYAK
  • NPI Number: 1396810982
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 26D1060409
LAB Type Physician Office
Facility Name NAYAK PLASTIC SURGERY CENTER
Street 607 S LINDBERGH BLVD
City SAINT LOUIS
State MO
ZIP 63131
Phone 314 991-5438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director L MIKE NAYAK

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