26D2044750 CLIA NUMBER - ALSANA - TWIN FAWNS

Laboratory Demographics

  • CLIA Code: 26D2044750
  • Facility Name: ALSANA - TWIN FAWNS
  • Facility Address: 1855 BOWLES AVENUE #210
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 399-4524
  • Facility Type: Other - TREATMENT CENTER-EATING D
  • Facility Type: Waiver
  • Lab Director: MEREDITH L. TROOP
  • NPI Number: 1891463915
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2044750
LAB Type Other - TREATMENT CENTER-EATING D
Facility Name ALSANA - TWIN FAWNS
Street 1855 BOWLES AVENUE #210
City FENTON
State MO
ZIP 63026
Phone 636 399-4524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Other - TREATMENT CENTER-EATING D
Lab Director MEREDITH L. TROOP

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