26D2021793 CLIA NUMBER - SOUTH ST LOUIS MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D2021793
  • Facility Name: SOUTH ST LOUIS MEDICAL ASSOCIATES
  • Facility Address: 3824 WATSON RD
    SAINT LOUIS, MO
    ZIP 63109
  • Facility Phone: 314 881-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMLESH VYAS
  • NPI Number: 1750681151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2021793
LAB Type Physician Office
Facility Name SOUTH ST LOUIS MEDICAL ASSOCIATES
Street 3824 WATSON RD
City SAINT LOUIS
State MO
ZIP 63109
Phone 314 881-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director KAMLESH VYAS

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This page was last updated on: 6/4/2025