26D1087224 CLIA NUMBER - UNION MANOR RESIDENTIAL CARE FACILITY

Laboratory Demographics

CLIA Number: 26D1087224

Facility Name: UNION MANOR RESIDENTIAL CARE FACILITY

Facility Address:
2711 N UNION BLVD
SAINT LOUIS, MO
ZIP 63113
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Facility Phone Number: 314 383-7310

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1013195478

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	26D1087224
LAB Type	Assisted Living Facility
Facility Name	UNION MANOR RESIDENTIAL CARE FACILITY
Street	2711 N UNION BLVD
City	SAINT LOUIS
State	MO
ZIP	63113
Phone	314 383-7310
CertificateType	4
CertificateEffectiveDate	9/13/2022
CertificateExpirationDate	9/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024