26D2004349 CLIA NUMBER - SSM MEDICAL GROUP CLAYTON ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 26D2004349
  • Facility Name: SSM MEDICAL GROUP CLAYTON ENDOCRINOLOGY
  • Facility Address: 1035 BELLEVUE AVE SUITE 206
    SAINT LOUIS, MO
    ZIP 63117
  • Facility Phone: 314 875-0380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAMICE EL-KHOLY
  • NPI Number: 1851312714
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2004349
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP CLAYTON ENDOCRINOLOGY
Street 1035 BELLEVUE AVE SUITE 206
City SAINT LOUIS
State MO
ZIP 63117
Phone 314 875-0380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director LAMICE EL-KHOLY

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