26D1093431 CLIA NUMBER - MILLENNIUM PAIN MGMNT, LLC

Laboratory Demographics

  • CLIA Code: 26D1093431
  • Facility Name: MILLENNIUM PAIN MGMNT, LLC
  • Facility Address: 112 PIPER HILL RD, STE 6
    SAINT PETERS, MO
    ZIP 63376
  • Facility Phone: 314 756-8035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN J. GRANBERG
  • NPI Number: 1942470687
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1093431
LAB Type Physician Office
Facility Name MILLENNIUM PAIN MGMNT, LLC
Street 112 PIPER HILL RD, STE 6
City SAINT PETERS
State MO
ZIP 63376
Phone 314 756-8035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director STEVEN J. GRANBERG

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