26D2326160 CLIA NUMBER - WASHINGTON UNIVERSITY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 26D2326160
  • Facility Name: WASHINGTON UNIVERSITY DERMATOLOGY
  • Facility Address: 969 N MASON RD SUITE 225
    CREVE COEUR, MO
    ZIP 63141
  • Facility Phone: 314 996-8006
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARTHA L. COUNCIL
  • NPI Number: 1215824677
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2326160
LAB Type Physician Office
Facility Name WASHINGTON UNIVERSITY DERMATOLOGY
Street 969 N MASON RD SUITE 225
City CREVE COEUR
State MO
ZIP 63141
Phone 314 996-8006
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 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director MARTHA L. COUNCIL

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