26D2078311 CLIA NUMBER - LEWIS C VOLLMAR, JR, MD

Laboratory Demographics

  • CLIA Code: 26D2078311
  • Facility Name: LEWIS C VOLLMAR, JR, MD
  • Facility Address: ST ANTHONY'S MEDICAL OFFICE BLDG, STE 274B 10004 KENNERLY ROAD
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 842-4840
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEWIS C VOLLMAR JR
  • NPI Number: 1215094677
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2078311
LAB Type Physician Office
Facility Name LEWIS C VOLLMAR, JR, MD
Street ST ANTHONY'S MEDICAL OFFICE BLDG, STE 274B 10004 KENNERLY ROAD
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 842-4840
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 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director LEWIS C VOLLMAR JR

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