26D2220073 CLIA NUMBER - BJC OUTPATIENT CENTER CHESTERFIELD

Laboratory Demographics

  • CLIA Code: 26D2220073
  • Facility Name: BJC OUTPATIENT CENTER CHESTERFIELD
  • Facility Address: 15838 FOUNTAIN PLAZA DRIVE, SUITE A
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 484-5220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD G. MORRIS
  • NPI Number: 1710781414
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2220073
LAB Type Physician Office
Facility Name BJC OUTPATIENT CENTER CHESTERFIELD
Street 15838 FOUNTAIN PLAZA DRIVE, SUITE A
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 484-5220
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 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director DONALD G. MORRIS

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