26D2189148 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER-TOWER GROVE

Laboratory Demographics

  • CLIA Code: 26D2189148
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER-TOWER GROVE
  • Facility Address: 3721 S GRAND BLVD
    SAINT LOUIS, MO
    ZIP 63118
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GORDON CHEN
  • NPI Number: 1154968196
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2189148
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER-TOWER GROVE
Street 3721 S GRAND BLVD
City SAINT LOUIS
State MO
ZIP 63118
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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