26D2294347 CLIA NUMBER - ST LOUIS CHILDRENS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D2294347
  • Facility Name: ST LOUIS CHILDRENS SURGERY CENTER LLC
  • Facility Address: 12184 NATURAL BRIDGE ROAD
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 254-1382
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMIE HEATER
  • NPI Number: 1619168861
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 26D2294347
LAB Type Ambulatory Surgery Center
Facility Name ST LOUIS CHILDRENS SURGERY CENTER LLC
Street 12184 NATURAL BRIDGE ROAD
City BRIDGETON
State MO
ZIP 63044
Phone 314 254-1382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Ambulatory Surgery Center
Lab Director JAMIE HEATER

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This page was last updated on: 6/4/2025