26D2110959 CLIA NUMBER - PREMIER SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 26D2110959
  • Facility Name: PREMIER SURGICAL CENTER, LLC
  • Facility Address: 3550 MCKELVEY ROAD
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 741-0911
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: RAFIQ P. RAMADAN
  • NPI Number: 1447613344
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2110959
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGICAL CENTER, LLC
Street 3550 MCKELVEY ROAD
City BRIDGETON
State MO
ZIP 63044
Phone 314 741-0911
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Ambulatory Surgery Center
Lab Director RAFIQ P. RAMADAN

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