26D2034893 CLIA NUMBER - CRESCENT HOME HEALTH AGENCY, LLC

Laboratory Demographics

  • CLIA Code: 26D2034893
  • Facility Name: CRESCENT HOME HEALTH AGENCY, LLC
  • Facility Address: 219 CLARKSON EXECUTIVE PARK
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 314 741-3800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SIKANDER M. BAJWA
  • NPI Number: 1013573443
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 26D2034893
LAB Type Home Health Agency
Facility Name CRESCENT HOME HEALTH AGENCY, LLC
Street 219 CLARKSON EXECUTIVE PARK
City ELLISVILLE
State MO
ZIP 63011
Phone 314 741-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Home Health Agency
Lab Director SIKANDER M. BAJWA

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