CLIA lab
CLIA 26D2111647: SSM Health Medical Group Executive Health South
Fenton, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2111647 belongs to SSM Health Medical Group Executive Health South in Fenton, MO.
Certificate of Waiver, effective April 12, 2026, expires April 11, 2028.
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
- April 12, 2026
- Certificate expiration
- April 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 12, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 26D2111647
- Lab name
- SSM Health Medical Group Executive Health South
- Address
- 1015 Bowles Avenue, Suite 1200, Fenton, MO 63026
- Phone
- (314) 209-5122
- Fax
- (314) 344-7720
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fenton, MO
- Alternative Hospice, LLCCertificate of Waiver, Hospice26D0910178
- Barr Healthcare, Inc DBA Interim HealthcareCertificate of Waiver, Other26D2202401
- Concentra Urgent CareCertificate of Waiver, Physician office26D0987081
- County Obstetrics and Gynecology, IncCertificate for Provider-Performed Microscopy Procedures, Physician office26D0439363
- Delmar Gardens of Meramec ValleyCertificate of Waiver, Skilled nursing or nursing facility26D0437249
- Esse HealthCertificate of Waiver, Physician office26D2230727
- Esse Health Fenton Family MedicineCertificate of Waiver, Physician office26D1026755
- Fenton Family Chiropractic LaboratoryCertificate of Waiver, Other practitioner26D2237968
- Fenton Family Physicians, LLCCertificate of Waiver, Physician office26D2111333
- Fenton Fire Protection DistrictCertificate of Waiver, Mobile lab26D0713012
Related
Questions
What is the CLIA number for SSM Health Medical Group Executive Health South in Fenton?
26D2111647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SSM Health Medical Group Executive Health South hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2111647 expire?
The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.