26D1051478 CLIA NUMBER - LAFAYETTE HABILITATION CENTER NURSING DEPARTMENT

Laboratory Demographics

  • CLIA Code: 26D1051478
  • Facility Name: LAFAYETTE HABILITATION CENTER NURSING DEPARTMENT
  • Facility Address: 2701 HENRIETTA AVE NURSING ANTE ROOM
    SAINT LOUIS, MO
    ZIP 63104
  • Facility Phone: 314 771-4777
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAROLYN STOUT
  • NPI Number: 1083719447
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D1051478
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAFAYETTE HABILITATION CENTER NURSING DEPARTMENT
Street 2701 HENRIETTA AVE NURSING ANTE ROOM
City SAINT LOUIS
State MO
ZIP 63104
Phone 314 771-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAROLYN STOUT

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