26D0963325 CLIA NUMBER - CARONDELET RETIREMENT MANOR

Laboratory Demographics

  • CLIA Code: 26D0963325
  • Facility Name: CARONDELET RETIREMENT MANOR
  • Facility Address: 6811 MICHIGAN
    SAINT LOUIS, MO
    ZIP 63111
  • Facility Phone: 314 353-9552
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEANNA M. DRAPER
  • NPI Number: 1184001836
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0963325
LAB Type Assisted Living Facility
Facility Name CARONDELET RETIREMENT MANOR
Street 6811 MICHIGAN
City SAINT LOUIS
State MO
ZIP 63111
Phone 314 353-9552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Assisted Living Facility
Lab Director DEANNA M. DRAPER

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