26D2307376 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER- FERGUSON

Laboratory Demographics

  • CLIA Code: 26D2307376
  • Facility Name: DEDICATED SENIOR MEDICAL CENTER- FERGUSON
  • Facility Address: 10990 NEW HALLS FERRY RD SUITE 1
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 788-6444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER CHEN
  • NPI Number: 1164276523
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 26D2307376
LAB Type Physician Office
Facility Name DEDICATED SENIOR MEDICAL CENTER- FERGUSON
Street 10990 NEW HALLS FERRY RD SUITE 1
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 788-6444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director CHRISTOPHER CHEN

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