26D2095971 CLIA NUMBER - PROGRESS WEST HOSPITAL-ADVANCED WOUND CENTER

Laboratory Demographics

  • CLIA Code: 26D2095971
  • Facility Name: PROGRESS WEST HOSPITAL-ADVANCED WOUND CENTER
  • Facility Address: 2630 HIGHWAY K
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 344-1180
  • Facility Type: Other - HOSPITAL WOUND CENTER
  • Facility Type: Waiver
  • Lab Director: RHONDA K. COOKE
  • NPI Number: 1881202927
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 26D2095971
LAB Type Other - HOSPITAL WOUND CENTER
Facility Name PROGRESS WEST HOSPITAL-ADVANCED WOUND CENTER
Street 2630 HIGHWAY K
City O FALLON
State MO
ZIP 63368
Phone 636 344-1180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Other - HOSPITAL WOUND CENTER
Lab Director RHONDA K. COOKE

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