26D0673411 CLIA NUMBER - BRIDGETON OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 26D0673411
  • Facility Name: BRIDGETON OPERATIONS LLC
  • Facility Address: 12145 BRIDGETON SQUARE DR
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 298-7444
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT EGILSRUD
  • NPI Number: 1750797312
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0673411
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDGETON OPERATIONS LLC
Street 12145 BRIDGETON SQUARE DR
City BRIDGETON
State MO
ZIP 63044
Phone 314 298-7444
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 ROBERT EGILSRUD

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