26D0958540 CLIA NUMBER - CARE NETWORK OF WATERMAN

Laboratory Demographics

  • CLIA Code: 26D0958540
  • Facility Name: CARE NETWORK OF WATERMAN
  • Facility Address: 5143 WATERMAN BLVD
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 423-1254
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIC E. MARTINEZ
  • NPI Number: 1417164419
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0958540
LAB Type Assisted Living Facility
Facility Name CARE NETWORK OF WATERMAN
Street 5143 WATERMAN BLVD
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 423-1254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Assisted Living Facility
Lab Director ERIC E. MARTINEZ

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