26D2108925 CLIA NUMBER - SSM HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 26D2108925
  • Facility Name: SSM HEALTH MEDICAL GROUP
  • Facility Address: 1598 WEST MEYER RD
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 332-8228
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BECKY E. OETTING
  • NPI Number: 1851833305
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 26D2108925
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUP
Street 1598 WEST MEYER RD
City WENTZVILLE
State MO
ZIP 63385
Phone 636 332-8228
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director BECKY E. OETTING

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