26D2310282 CLIA NUMBER - SPECIALT MRI, LLC

Laboratory Demographics

  • CLIA Code: 26D2310282
  • Facility Name: SPECIALT MRI, LLC
  • Facility Address: 1823 SMIZER STATION ROAD
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 333-1391
  • Facility Type: Other - MRI IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: JERRY C. GE
  • NPI Number: 1811740301
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2310282
LAB Type Other - MRI IMAGING CENTER
Facility Name SPECIALT MRI, LLC
Street 1823 SMIZER STATION ROAD
City FENTON
State MO
ZIP 63026
Phone 636 333-1391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - MRI IMAGING CENTER
Lab Director JERRY C. GE

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