26D0698555 CLIA NUMBER - GREEN PARK RESIDENT CENTER

Laboratory Demographics

  • CLIA Code: 26D0698555
  • Facility Name: GREEN PARK RESIDENT CENTER
  • Facility Address: 9300 GREEN PARK ROAD
    SAINT LOUIS, MO
    ZIP 63123
  • Facility Phone: 314 845-3700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GEORGANN FOSTER
  • NPI Number: 1386621613
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0698555
LAB Type Other
Facility Name GREEN PARK RESIDENT CENTER
Street 9300 GREEN PARK ROAD
City SAINT LOUIS
State MO
ZIP 63123
Phone 314 845-3700
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 Other
Lab Director GEORGANN FOSTER

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