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

Laboratory Demographics

CLIA Number: 26D2095971

Facility Name: PROGRESS WEST HOSPITAL-ADVANCED WOUND CENTER

Facility Address:
2630 HIGHWAY K
O FALLON, MO
ZIP 63368
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Facility Phone Number: 636 344-1180

Facility Type: Other - HOSPITAL WOUND CENTER

Certificate Type: Waiver
NPI Number: 1881202927

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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
CertificateType 4
CertificateEffectiveDate 5/13/2023
CertificateExpirationDate 5/12/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024