26D1089909 CLIA NUMBER - WESTERN ANESTHESIOLOGY ASSOCIATES, INC

Laboratory Demographics

CLIA Number: 26D1089909

Facility Name: WESTERN ANESTHESIOLOGY ASSOCIATES, INC

Facility Address:
1070 OLD DES PERES RD
SAINT LOUIS, MO
ZIP 63131
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Facility Phone Number: 314 821-8644

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699916247

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	26D1089909
LAB Type	Physician Office
Facility Name	WESTERN ANESTHESIOLOGY ASSOCIATES, INC
Street	1070 OLD DES PERES RD
City	SAINT LOUIS
State	MO
ZIP	63131
Phone	314 821-8644
CertificateType	4
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	Waiver

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