26D2088328 CLIA NUMBER - SSM MEDICAL GROUP UROLOGY SJ-SC

Laboratory Demographics

  • CLIA Code: 26D2088328
  • Facility Name: SSM MEDICAL GROUP UROLOGY SJ-SC
  • Facility Address: 400 FIRST CAPITOL DR STE 301
    SAINT CHARLES, MO
    ZIP 63301
  • Facility Phone: 636 669-3080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN M. ENGER
  • NPI Number: 1447633557
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2088328
LAB Type Physician Office
Facility Name SSM MEDICAL GROUP UROLOGY SJ-SC
Street 400 FIRST CAPITOL DR STE 301
City SAINT CHARLES
State MO
ZIP 63301
Phone 636 669-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director KEVIN M. ENGER

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