26D2307724 CLIA NUMBER - BJC MEDICAL GROUP FAMILY MEDICINE AT MBMC - SUITE 226A

Laboratory Demographics

  • CLIA Code: 26D2307724
  • Facility Name: BJC MEDICAL GROUP FAMILY MEDICINE AT MBMC - SUITE 226A
  • Facility Address: 3009 N BALLAS ROAD, SUITE 226A
    ST. LOUIS, MO
    ZIP 63131
  • Facility Phone: 314 996-4900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACK A. GALBRAITH

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CLIA Record

Field Name Field Value
CLIA Number 26D2307724
LAB Type Physician Office
Facility Name BJC MEDICAL GROUP FAMILY MEDICINE AT MBMC - SUITE 226A
Street 3009 N BALLAS ROAD, SUITE 226A
City ST. LOUIS
State MO
ZIP 63131
Phone 314 996-4900
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 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director JACK A. GALBRAITH

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