26D2311016 CLIA NUMBER - SPINE CENTER LLC, THE

Laboratory Demographics

  • CLIA Code: 26D2311016
  • Facility Name: SPINE CENTER LLC, THE
  • Facility Address: 5219 DELMAR BLVD
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: (314) 454-1437
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SELAM DEUTSCHMANN
  • NPI Number: 1114755063
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D2311016
LAB Type Practitioner Other
Facility Name SPINE CENTER LLC, THE
Street 5219 DELMAR BLVD
City SAINT LOUIS
State MO
ZIP 63108
Phone 3144541437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Practitioner Other
Lab Director SELAM DEUTSCHMANN

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This page was last updated on: 5/18/2026