26D1069275 CLIA NUMBER - GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD

Laboratory Demographics

  • CLIA Code: 26D1069275
  • Facility Name: GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD
  • Facility Address: 621 S NEW BALLAS RD, STE 2002B
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 251-6753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIONYSIOS K. VERONIKIS
  • NPI Number: 1891822326
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 26D1069275
LAB Type Physician Office
Facility Name GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD
Street 621 S NEW BALLAS RD, STE 2002B
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 251-6753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DIONYSIOS K. VERONIKIS

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