26D2199674 CLIA NUMBER - ST LOUIS KIDNEY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 26D2199674
  • Facility Name: ST LOUIS KIDNEY CONSULTANTS
  • Facility Address: 456 N NEW BALLAS RD - STE 348
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 548-0265
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAY R. SELTZER
  • NPI Number: 1730593757
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2199674
LAB Type Physician Office
Facility Name ST LOUIS KIDNEY CONSULTANTS
Street 456 N NEW BALLAS RD - STE 348
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 548-0265
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director JAY R. SELTZER

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