26D0438763 CLIA NUMBER - DELHAVEN MANOR

Laboratory Demographics

  • CLIA Code: 26D0438763
  • Facility Name: DELHAVEN MANOR
  • Facility Address: 5460 DELMAR BLVD
    SAINT LOUIS, MO
    ZIP 63112
  • Facility Phone: 314 361-2902
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATRINA HAWKINS
  • NPI Number: 1750313730
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0438763
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DELHAVEN MANOR
Street 5460 DELMAR BLVD
City SAINT LOUIS
State MO
ZIP 63112
Phone 314 361-2902
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 KATRINA HAWKINS

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This page was last updated on: 6/4/2025