26D0664143 CLIA NUMBER - CLAYTON ROAD HEALTHCARE LLC DBA ATHENE NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 26D0664143
  • Facility Name: CLAYTON ROAD HEALTHCARE LLC DBA ATHENE NURSING AND REHAB
  • Facility Address: 13995 CLAYTON ROAD
    TOWN AND COUNTRY, MO
    ZIP 63017
  • Facility Phone: 636 227-5070
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RYAN T. MITCHELL
  • NPI Number: 1144834367
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0664143
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLAYTON ROAD HEALTHCARE LLC DBA ATHENE NURSING AND REHAB
Street 13995 CLAYTON ROAD
City TOWN AND COUNTRY
State MO
ZIP 63017
Phone 636 227-5070
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 RYAN T. MITCHELL

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