26D2266907 CLIA NUMBER - BJC MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE AT CH

Laboratory Demographics

  • CLIA Code: 26D2266907
  • Facility Name: BJC MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE AT CH
  • Facility Address: 11125 DUNN RD, SUITE 301
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 953-8250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK S. MOEN
  • NPI Number: 1376902932
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 26D2266907
LAB Type Physician Office
Facility Name BJC MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE AT CH
Street 11125 DUNN RD, SUITE 301
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 953-8250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director PATRICK S. MOEN

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