26D1100824 CLIA NUMBER - SSM MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 26D1100824
  • Facility Name: SSM MEDICAL GROUP
  • Facility Address: 1035 BELLEVUE AVE, STE 400
    SAINT LOUIS, MO
    ZIP 63117
  • Facility Phone: 314 925-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK KRASNOFF
  • NPI Number: 1649459215
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1100824
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP
Street 1035 BELLEVUE AVE, STE 400
City SAINT LOUIS
State MO
ZIP 63117
Phone 314 925-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director MARK KRASNOFF

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