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WENTZVILLE SURGERY CENTER LLC
NPI 1356926414
Clinic/Center - Ambulatory Surgical in Wentzville, MO

Active since March 10, 2021CLIA 26D2218453 · Waiver
982 WENTZVILLE PKWY, WENTZVILLE, MO 63385(314) 560-5069 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wentzville Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENTZVILLE SURGERY CENTER LLC (NPI 1356926414) is a healthcare organization registered as an ambulatory surgical in Wentzville, Missouri and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Angela Ehlers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356926414
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWENTZVILLE SURGERY CENTER LLC
Location Address982 WENTZVILLE PKWYWentzville, MO 63385-3695
Mailing Address633 Emerson Rd Ste 100Saint Louis, MO 63141-6739 · (314) 560-5069
Phone(314) 560-5069
Organization SubpartNo
Authorized OfficialAngela EhlersAdministrator · (314) 560-5069
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1356926414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
982 WENTZVILLE PKWY, Wentzville, MO 63385
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2218453

Wentzville Surgery Center, LLC · Wentzville, MO
Active · expires Mar 28, 2027
CLIA Number26D2218453
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDr. Michael Ryan
Laboratory Phone(314) 560-5069
Laboratory LocationWentzville Surgery Center, LLC982 Wentzville Parkway, Wentzville, MO 63385
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wentzville Surgery Center LLC's NPI number?

The NPI number for Wentzville Surgery Center LLC is 1356926414. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Wentzville Surgery Center LLC located?

Wentzville Surgery Center LLC is located at 982 Wentzville Pkwy, Wentzville, MO 63385. The listed phone number is (314) 560-5069.

What is Wentzville Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Wentzville Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2218453) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wentzville Surgery Center LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.