26D1093416 CLIA NUMBER - LIVING LIFE LONG RESIDENTIAL CARE, LLC

Laboratory Demographics

  • CLIA Code: 26D1093416
  • Facility Name: LIVING LIFE LONG RESIDENTIAL CARE, LLC
  • Facility Address: 5076 WATERMAN BLVD
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 367-9516
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: SHERRONE L. BEATTY
  • NPI Number: 1841318193
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1093416
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name LIVING LIFE LONG RESIDENTIAL CARE, LLC
Street 5076 WATERMAN BLVD
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 367-9516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director SHERRONE L. BEATTY

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