26D2122741 CLIA NUMBER - SSM HEALTH URGENT CARE - SHAKELFORD

Laboratory Demographics

  • CLIA Code: 26D2122741
  • Facility Name: SSM HEALTH URGENT CARE - SHAKELFORD
  • Facility Address: 1120 SHACKELFORD RD
    FLORISSANT, MO
    ZIP 63031
  • Facility Phone: 314 989-2827
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SUSAN DAVIS
  • NPI Number: 1194736116
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2122741
LAB Type Other - URGENT CARE
Facility Name SSM HEALTH URGENT CARE - SHAKELFORD
Street 1120 SHACKELFORD RD
City FLORISSANT
State MO
ZIP 63031
Phone 314 989-2827
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 Other - URGENT CARE
Lab Director SUSAN DAVIS

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