26D1073911 CLIA NUMBER - ST LOUIS SPINE AND ORTHOPEDIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D1073911
  • Facility Name: ST LOUIS SPINE AND ORTHOPEDIC SURGERY CENTER
  • Facility Address: 1130 TOWN AND COUNTRY COMMONS DR
    TOWN AND COUNTRY, MO
    ZIP 63017
  • Facility Phone: 636 256-0320
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN RUTZ
  • NPI Number: 1457552846
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1073911
LAB Type Ambulatory Surgery Center
Facility Name ST LOUIS SPINE AND ORTHOPEDIC SURGERY CENTER
Street 1130 TOWN AND COUNTRY COMMONS DR
City TOWN AND COUNTRY
State MO
ZIP 63017
Phone 636 256-0320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Ambulatory Surgery Center
Lab Director KEVIN RUTZ

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