26D2236355 CLIA NUMBER - PRIMARY HEALTH CARE ASSOCIATES, LLC DBA BACK CARE CLINIC

Laboratory Demographics

  • CLIA Code: 26D2236355
  • Facility Name: PRIMARY HEALTH CARE ASSOCIATES, LLC DBA BACK CARE CLINIC
  • Facility Address: 5960 HOWDERSHELL RD, 204
    HAZELWOOD, MO
    ZIP 63042
  • Facility Phone: 314 895-1136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINA LYNCH
  • NPI Number: 1275512592
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 26D2236355
LAB Type Physician Office
Facility Name PRIMARY HEALTH CARE ASSOCIATES, LLC DBA BACK CARE CLINIC
Street 5960 HOWDERSHELL RD, 204
City HAZELWOOD
State MO
ZIP 63042
Phone 314 895-1136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director CHRISTINA LYNCH

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