26D2295808 CLIA NUMBER - MEDICINE FOR MEDICINE LLC DBA PROGESS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D2295808
  • Facility Name: MEDICINE FOR MEDICINE LLC DBA PROGESS MEDICAL CLINIC
  • Facility Address: 16 HAMPTON VILLAGE PLAZA STE 276
    SAINT LOUIS, MO
    ZIP 63109
  • Facility Phone: 361 249-5359
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TREVOR S. COOK
  • NPI Number: 1588260939
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2295808
LAB Type Practitioner Other
Facility Name MEDICINE FOR MEDICINE LLC DBA PROGESS MEDICAL CLINIC
Street 16 HAMPTON VILLAGE PLAZA STE 276
City SAINT LOUIS
State MO
ZIP 63109
Phone 361 249-5359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Practitioner Other
Lab Director TREVOR S. COOK

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