26D2311896 CLIA NUMBER - ST LOUIS COSMETIC SURGERY LLC

Laboratory Demographics

  • CLIA Code: 26D2311896
  • Facility Name: ST LOUIS COSMETIC SURGERY LLC
  • Facility Address: 17300 N OUTER FORTY ROAD, SUITE 300
    CHESTERFIELD, MO
    ZIP 63005
  • Facility Phone: 314 409-4884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERLUF G. LUND JR
  • NPI Number: 1457464323
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2311896
LAB Type Physician Office
Facility Name ST LOUIS COSMETIC SURGERY LLC
Street 17300 N OUTER FORTY ROAD, SUITE 300
City CHESTERFIELD
State MO
ZIP 63005
Phone 314 409-4884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director HERLUF G. LUND JR

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