26D2274916 CLIA NUMBER - WASHINGTON UNIVERSITY MULTISPECIALTY CENTER- VILLAGE SQUARE

Laboratory Demographics

  • CLIA Code: 26D2274916
  • Facility Name: WASHINGTON UNIVERSITY MULTISPECIALTY CENTER- VILLAGE SQUARE
  • Facility Address: 1 VILLAGE SQUARE SHOPPING SQUARE, SUITE 1
    HAZELWOOD, MO
    ZIP 63042
  • Facility Phone: 314 252-7010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HILLARY EL RENO
  • NPI Number: 1447968318
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2274916
LAB Type Physician Office
Facility Name WASHINGTON UNIVERSITY MULTISPECIALTY CENTER- VILLAGE SQUARE
Street 1 VILLAGE SQUARE SHOPPING SQUARE, SUITE 1
City HAZELWOOD
State MO
ZIP 63042
Phone 314 252-7010
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 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director HILLARY EL RENO

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