26D1097154 CLIA NUMBER - SLU CARE FAMILY MEDICINE AT UNIVERSITY TOWER

Laboratory Demographics

  • CLIA Code: 26D1097154
  • Facility Name: SLU CARE FAMILY MEDICINE AT UNIVERSITY TOWER
  • Facility Address: 1034 S BRENTWOOD, SUITE 1120
    RICHMOND HEIGHTS, MO
    ZIP 63117
  • Facility Phone: 314 617-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW BREEDEN
  • NPI Number: 1295708527
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 26D1097154
LAB Type Physician Office
Facility Name SLU CARE FAMILY MEDICINE AT UNIVERSITY TOWER
Street 1034 S BRENTWOOD, SUITE 1120
City RICHMOND HEIGHTS
State MO
ZIP 63117
Phone 314 617-3000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director MATTHEW BREEDEN

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