26D0991754 CLIA NUMBER - PALLADIAN CREVE COEUR, LLC D/B/A CREVE COEUR MANOR

Laboratory Demographics

  • CLIA Code: 26D0991754
  • Facility Name: PALLADIAN CREVE COEUR, LLC D/B/A CREVE COEUR MANOR
  • Facility Address: 1127 TIMBER RUN DR
    SAINT LOUIS, MO
    ZIP 63146
  • Facility Phone: 312 994-2306
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CYNTHIA BARKER
  • NPI Number: 1942829692
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0991754
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALLADIAN CREVE COEUR, LLC D/B/A CREVE COEUR MANOR
Street 1127 TIMBER RUN DR
City SAINT LOUIS
State MO
ZIP 63146
Phone 312 994-2306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CYNTHIA BARKER

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