26D0957757 CLIA NUMBER - LEA-ED INC DBA SYLVAN HOUSE

Laboratory Demographics

CLIA Code: 26D0957757
Facility Name: LEA-ED INC DBA SYLVAN HOUSE
Facility Address: #30 SHERMAN ROAD
SAINT LOUIS, MO
ZIP 63125
Facility Phone: 314 892-2212
Facility Type: Other
Facility Type: Waiver
Lab Director: LEAH I. DERINS
NPI Number: 1760940209
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	26D0957757
LAB Type	Other
Facility Name	LEA-ED INC DBA SYLVAN HOUSE
Street	#30 SHERMAN ROAD
City	SAINT LOUIS
State	MO
ZIP	63125
Phone	314 892-2212
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/1/2025
Certificate Expiration Date	2/28/2027
Facility Type	Other
Lab Director	LEAH I. DERINS

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