26D2217429 CLIA NUMBER - CENTRAL MEDICAL GROUP/BJC MEDICAL GROUP AT THE HIGHLANDS

Laboratory Demographics

  • CLIA Code: 26D2217429
  • Facility Name: CENTRAL MEDICAL GROUP/BJC MEDICAL GROUP AT THE HIGHLANDS
  • Facility Address: 1110 HIGHLANDS PLAZA DRIVE EAST, SUITE 220
    SAINT LOUIS, MO
    ZIP 63110
  • Facility Phone: 314 273-0195
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. COHEN
  • NPI Number: 1053487132
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2217429
LAB Type Physician Office
Facility Name CENTRAL MEDICAL GROUP/BJC MEDICAL GROUP AT THE HIGHLANDS
Street 1110 HIGHLANDS PLAZA DRIVE EAST, SUITE 220
City SAINT LOUIS
State MO
ZIP 63110
Phone 314 273-0195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director STEPHEN W. COHEN

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