26D0914175 CLIA NUMBER - ST LOUIS ALTENHEIM

Laboratory Demographics

  • CLIA Code: 26D0914175
  • Facility Name: ST LOUIS ALTENHEIM
  • Facility Address: 5408 S BROADWAY
    SAINT LOUIS, MO
    ZIP 63111
  • Facility Phone: 314 269-5319
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RAINNA BARNETT
  • NPI Number: 1720104912
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0914175
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST LOUIS ALTENHEIM
Street 5408 S BROADWAY
City SAINT LOUIS
State MO
ZIP 63111
Phone 314 269-5319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RAINNA BARNETT

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