26D0925868 CLIA NUMBER - AUTUMN VIEW GARDENS

Laboratory Demographics

  • CLIA Code: 26D0925868
  • Facility Name: AUTUMN VIEW GARDENS
  • Facility Address: 16219 AUTUMN VIEW TERRACE DRIVE
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 636 458-5225
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. INGERSON
  • NPI Number: 1942341623
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0925868
LAB Type Assisted Living Facility
Facility Name AUTUMN VIEW GARDENS
Street 16219 AUTUMN VIEW TERRACE DRIVE
City ELLISVILLE
State MO
ZIP 63011
Phone 636 458-5225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Assisted Living Facility
Lab Director MICHELLE A. INGERSON

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