26D2082470 CLIA NUMBER - FAST TRACK MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 26D2082470
  • Facility Name: FAST TRACK MEDICAL LLC
  • Facility Address: 9845 WEST FLORISSANT AVE
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 736-6100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAYMOND L. LEUNG
  • NPI Number: 1972901957
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2082470
LAB Type Physician Office
Facility Name FAST TRACK MEDICAL LLC
Street 9845 WEST FLORISSANT AVE
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 736-6100
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 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director RAYMOND L. LEUNG

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