26D2007560 CLIA NUMBER - JOSEPH A MUCCINI, MD, LLC

Laboratory Demographics

  • CLIA Code: 26D2007560
  • Facility Name: JOSEPH A MUCCINI, MD, LLC
  • Facility Address: 222 S WOODS MILL RD, STE 475N
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 878-0600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH A. MUCCINI
  • NPI Number: 1952398430
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2007560
LAB Type Physician Office
Facility Name JOSEPH A MUCCINI, MD, LLC
Street 222 S WOODS MILL RD, STE 475N
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 878-0600
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 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director JOSEPH A. MUCCINI

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