CLIA lab

CLIA 26D1044149: Premise Health of Missouri Medical, PC

O Fallon, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D1044149 belongs to Premise Health of Missouri Medical, PC in O Fallon, MO.

Certificate of Waiver, effective August 11, 2025, expires August 10, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 11, 2025
Certificate expiration
August 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 11, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D1044149
Lab name
Premise Health of Missouri Medical, PC
Address
2200 Mastercard Blvd, O Fallon, MO 63366
Phone
(636) 722-8655
Fax
(636) 722-2057

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Premise Health of Missouri Medical, PC in O Fallon?

26D1044149, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of Missouri Medical, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D1044149 expire?

The CMS file lists August 10, 2027 as the certificate expiration date; the certificate took effect August 11, 2025.

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