26D2012524 CLIA NUMBER - SUGAR CREEK ALF

Laboratory Demographics

  • CLIA Code: 26D2012524
  • Facility Name: SUGAR CREEK ALF
  • Facility Address: 161 PROFESSIONAL PARKWAY
    TROY, MO
    ZIP 63379
  • Facility Phone: 636 528-3136
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KERRI M. OTH
  • NPI Number: 1184868523
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2012524
LAB Type Assisted Living Facility
Facility Name SUGAR CREEK ALF
Street 161 PROFESSIONAL PARKWAY
City TROY
State MO
ZIP 63379
Phone 636 528-3136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Assisted Living Facility
Lab Director KERRI M. OTH

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