26D0722569 CLIA NUMBER - BETHESDA DILWORTH

Laboratory Demographics

  • CLIA Code: 26D0722569
  • Facility Name: BETHESDA DILWORTH
  • Facility Address: 9645 BIG BEND BOULEVARD
    SAINT LOUIS, MO
    ZIP 63122
  • Facility Phone: 314 968-5460
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PIOTR KULIKOWSKI
  • NPI Number: 1114993391
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0722569
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHESDA DILWORTH
Street 9645 BIG BEND BOULEVARD
City SAINT LOUIS
State MO
ZIP 63122
Phone 314 968-5460
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 PIOTR KULIKOWSKI

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