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

Laboratory Demographics

CLIA Number: 26D0941726

Facility Name: TED LEA INC, DBA THE BOARDING INN

Facility Address:
9444 MIDLAND BOULEVARD
OVERLAND, MO
ZIP 63114
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Facility Phone Number: 314 426-0091

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1467919233

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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
CertificateType	4
CertificateEffectiveDate	3/2/2024
CertificateExpirationDate	3/1/2026
FacilityType	Waiver

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