26D1020613 CLIA NUMBER - AGING WELL HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 26D1020613
  • Facility Name: AGING WELL HEALTHCARE LLC
  • Facility Address: 7216-7212 BALSON AVENUE
    SAINT LOUIS, MO
    ZIP 63130
  • Facility Phone: 314 726-5600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JULIA ESCANDON
  • NPI Number: 1215936588
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D1020613
LAB Type Other
Facility Name AGING WELL HEALTHCARE LLC
Street 7216-7212 BALSON AVENUE
City SAINT LOUIS
State MO
ZIP 63130
Phone 314 726-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Other
Lab Director JULIA ESCANDON

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