26D2071745 CLIA NUMBER - BJC MEDICAL GROUP CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 26D2071745
  • Facility Name: BJC MEDICAL GROUP CARDIOLOGY
  • Facility Address: 1225 GRAHAM ROAD, SUITE 2310
    FLORISSANT, MO
    ZIP 63031
  • Facility Phone: 314 953-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW FRALEY
  • NPI Number: 1174699243
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2071745
LAB Type Physician Office
Facility Name BJC MEDICAL GROUP CARDIOLOGY
Street 1225 GRAHAM ROAD, SUITE 2310
City FLORISSANT
State MO
ZIP 63031
Phone 314 953-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director MATTHEW FRALEY

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