26D0967414 CLIA NUMBER - ST JOE MANOR

Laboratory Demographics

  • CLIA Code: 26D0967414
  • Facility Name: ST JOE MANOR
  • Facility Address: 10 LAKE DRIVE
    BONNE TERRE, MO
    ZIP 63628
  • Facility Phone: 573 358-0282
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RONALD G. ROBINSON JR
  • NPI Number: 1144301144
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0967414
LAB Type Other
Facility Name ST JOE MANOR
Street 10 LAKE DRIVE
City BONNE TERRE
State MO
ZIP 63628
Phone 573 358-0282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Other
Lab Director RONALD G. ROBINSON JR

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