26D2202481 CLIA NUMBER - MIDWEST NEUROSURGEONS, LLC

Laboratory Demographics

  • CLIA Code: 26D2202481
  • Facility Name: MIDWEST NEUROSURGEONS, LLC
  • Facility Address: 2901 UNION ROAD, SUITE 200
    SAINT LOUIS, MO
    ZIP 63125
  • Facility Phone: 314 626-3602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SONJAY JOSEPH FONN
  • NPI Number: 1215378955
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D2202481
LAB Type Physician Office
Facility Name MIDWEST NEUROSURGEONS, LLC
Street 2901 UNION ROAD, SUITE 200
City SAINT LOUIS
State MO
ZIP 63125
Phone 314 626-3602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director SONJAY JOSEPH FONN

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