26D0677812 CLIA NUMBER - FESTUS MANOR

Laboratory Demographics

  • CLIA Code: 26D0677812
  • Facility Name: FESTUS MANOR
  • Facility Address: 627 WESTWOOD SOUTH DRIVE
    FESTUS, MO
    ZIP 63028
  • Facility Phone: 636 931-9066
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LATRESE F. WASHINGTON
  • NPI Number: 1811106198
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0677812
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FESTUS MANOR
Street 627 WESTWOOD SOUTH DRIVE
City FESTUS
State MO
ZIP 63028
Phone 636 931-9066
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 LATRESE F. WASHINGTON

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