26D0437568 CLIA NUMBER - BROOKVIEW NSG HOME D/B/A/ STONEBRIDGE MARYLAND HEIGHTS

Laboratory Demographics

  • CLIA Code: 26D0437568
  • Facility Name: BROOKVIEW NSG HOME D/B/A/ STONEBRIDGE MARYLAND HEIGHTS
  • Facility Address: 2963 DODDRIDGE AVE
    MARYLAND HEIGHTS, MO
    ZIP 63043
  • Facility Phone: 314 291-4557
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEANNA BOKEL
  • NPI Number: 1366449811
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0437568
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKVIEW NSG HOME D/B/A/ STONEBRIDGE MARYLAND HEIGHTS
Street 2963 DODDRIDGE AVE
City MARYLAND HEIGHTS
State MO
ZIP 63043
Phone 314 291-4557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEANNA BOKEL

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