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26D1084137 CLIA NUMBER - AESTHETIC MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 26D1084137

Facility Name: AESTHETIC MEDICAL ASSOCIATES

Facility Address:
3920 LINDELL BLVD, STE 105
SAINT LOUIS, MO
ZIP 63108
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Facility Phone Number: 314 652-8923

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205977857

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 26D1084137
LAB Type Physician Office
Facility Name AESTHETIC MEDICAL ASSOCIATES
Street 3920 LINDELL BLVD, STE 105
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 652-8923
CertificateType 4
CertificateEffectiveDate 7/14/2023
CertificateExpirationDate 7/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024