26D0724094 CLIA NUMBER - SCENIC NURSING AND REHABILITATION CTR, LLC

Laboratory Demographics

  • CLIA Code: 26D0724094
  • Facility Name: SCENIC NURSING AND REHABILITATION CTR, LLC
  • Facility Address: 1333 SCENIC DRIVE
    HERCULANEUM, MO
    ZIP 63048
  • Facility Phone: 636 931-2995
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONNA MANCO
  • NPI Number: 1639244676
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0724094
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SCENIC NURSING AND REHABILITATION CTR, LLC
Street 1333 SCENIC DRIVE
City HERCULANEUM
State MO
ZIP 63048
Phone 636 931-2995
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 DONNA MANCO

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