26D0926298 CLIA NUMBER - BRENTMOOR RETIREMENT COMMUNITY

Laboratory Demographics

CLIA Number: 26D0926298

Facility Name: BRENTMOOR RETIREMENT COMMUNITY

Facility Address:
8600 DELMAR BOULEVARD
SAINT LOUIS, MO
ZIP 63124
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Facility Phone Number: 314 692-0099

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1316252430

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D0926298
LAB Type	Assisted Living Facility
Facility Name	BRENTMOOR RETIREMENT COMMUNITY
Street	8600 DELMAR BOULEVARD
City	SAINT LOUIS
State	MO
ZIP	63124
Phone	314 692-0099
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024