26D2237746 CLIA NUMBER - RAFI FREDMAN MD LLC

Laboratory Demographics

  • CLIA Code: 26D2237746
  • Facility Name: RAFI FREDMAN MD LLC
  • Facility Address: 1551 WALL STREET, SUITE 420
    SAINT CHARLES, MO
    ZIP 63303
  • Facility Phone: 636 329-4036
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFI S. FREDMAN
  • NPI Number: 1972923126
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D2237746
LAB Type Physician Office
Facility Name RAFI FREDMAN MD LLC
Street 1551 WALL STREET, SUITE 420
City SAINT CHARLES
State MO
ZIP 63303
Phone 636 329-4036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director RAFI S. FREDMAN

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