26D2026894 CLIA NUMBER - SAMC CT 13303 TESSON FERRY RD

Laboratory Demographics

  • CLIA Code: 26D2026894
  • Facility Name: SAMC CT 13303 TESSON FERRY RD
  • Facility Address: 13303 TESSON FERRY RD
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 843-5888
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ARIEL WU
  • NPI Number: 1760578496
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 26D2026894
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SAMC CT 13303 TESSON FERRY RD
Street 13303 TESSON FERRY RD
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 843-5888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ARIEL WU

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