26D0965447 CLIA NUMBER - BENTLEYS EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 26D0965447
  • Facility Name: BENTLEYS EXTENDED CARE
  • Facility Address: 3060 ASHBY RD
    SAINT LOUIS, MO
    ZIP 63114
  • Facility Phone: 314 426-0433
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAWN GAO
  • NPI Number: 1720130701
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0965447
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENTLEYS EXTENDED CARE
Street 3060 ASHBY RD
City SAINT LOUIS
State MO
ZIP 63114
Phone 314 426-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHAWN GAO

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