JEFFERSON CITY, Mo. -- Health officials on Friday said they're still seeking answers from Missouri's only abortion clinic about why some patients were unaware that they remained pregnant after what the agency described as "failed surgical abortions."

The state Department of Health and Senior Services said a March health inspection of the St. Louis Planned Parenthood clinic "identified serious concerns, one of those involving the handling of fetal tissue extracted from abortions." The agency said that led it and the federal Centers for Medicare and Medicaid Services to investigate Boyce and Bynum Professional Services, which handles fetal tissue from abortions at Planned Parenthood.

The state health department said Friday in a news release that the focus of the review was "to determine why women remained pregnant after the abortion provider and the laboratory confirmed the presence of fetal parts and tissue in the post-surgical abortion pathological examination."

The agency declined to provide additional details about allegations that some women remained pregnant after receiving abortions at Planned Parenthood and did not specify how many instances it reviewed, citing the ongoing investigation.

The health department says the lab provisionally lost its license on May 7, but the state agency's director, Dr. Randall Williams, said Boyce and Bynum was reaccredited Thursday "based on their willingness to fully comply with the investigation."

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