26D2189144 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER-NORTH ST LOUIS

Laboratory Demographics

  • CLIA Code: 26D2189144
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER-NORTH ST LOUIS
  • Facility Address: 175 N OAKS PLAZA
    SAINT LOUIS, MO
    ZIP 63121
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON CHEN
  • NPI Number: 1790317402
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 26D2189144
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER-NORTH ST LOUIS
Street 175 N OAKS PLAZA
City SAINT LOUIS
State MO
ZIP 63121
Phone 305 842-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director GORDON CHEN

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