26D2122738 CLIA NUMBER - CENTRAL WEST END ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 26D2122738
  • Facility Name: CENTRAL WEST END ENDOSCOPY LLC
  • Facility Address: 4510 DELMAR BLVD
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 454-6903
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAMON CLINES
  • NPI Number: 1114380052
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2122738
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL WEST END ENDOSCOPY LLC
Street 4510 DELMAR BLVD
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 454-6903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Ambulatory Surgery Center
Lab Director DAMON CLINES

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