26D0892512 CLIA NUMBER - NORTHVIEW VILLAGE NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 26D0892512
  • Facility Name: NORTHVIEW VILLAGE NURSING & REHABILITATION
  • Facility Address: 2415 NORTH KINGSHIGHWAY
    SAINT LOUIS, MO
    ZIP 63113
  • Facility Phone: 314 361-1300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER EVANS
  • NPI Number: 1538108469
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0892512
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHVIEW VILLAGE NURSING & REHABILITATION
Street 2415 NORTH KINGSHIGHWAY
City SAINT LOUIS
State MO
ZIP 63113
Phone 314 361-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER EVANS

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