26D0941726 CLIA NUMBER - TED LEA INC, DBA THE BOARDING INN

Laboratory Demographics

CLIA Code: 26D0941726
Facility Name: TED LEA INC, DBA THE BOARDING INN
Facility Address: 9444 MIDLAND BOULEVARD
OVERLAND, MO
ZIP 63114
Facility Phone: 314 426-0091
Facility Type: Other
Facility Type: Waiver
Lab Director: LEAH I. DERING
NPI Number: 1467919233
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	26D0941726
LAB Type	Other
Facility Name	TED LEA INC, DBA THE BOARDING INN
Street	9444 MIDLAND BOULEVARD
City	OVERLAND
State	MO
ZIP	63114
Phone	314 426-0091
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/2/2024
Certificate Expiration Date	3/1/2026
Facility Type	Other
Lab Director	LEAH I. DERING

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