26D2038055 CLIA NUMBER - JAMES E KELLY MD LLC

Laboratory Demographics

  • CLIA Code: 26D2038055
  • Facility Name: JAMES E KELLY MD LLC
  • Facility Address: 3915 WATSON RD SUITE 203
    SAINT LOUIS, MO
    ZIP 63109
  • Facility Phone: 314 771-5822
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES E. KELLY
  • NPI Number: 1053377333
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 26D2038055
LAB Type Physician Office
Facility Name JAMES E KELLY MD LLC
Street 3915 WATSON RD SUITE 203
City SAINT LOUIS
State MO
ZIP 63109
Phone 314 771-5822
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 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director JAMES E. KELLY

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