26D2055989 CLIA NUMBER - SPRING MANOR

Laboratory Demographics

  • CLIA Code: 26D2055989
  • Facility Name: SPRING MANOR
  • Facility Address: 3610 PALM STREET
    SAINT LOUIS, MO
    ZIP 63107
  • Facility Phone: 314 533-3111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALI CHAUDHRY
  • NPI Number: 1487044293
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2055989
LAB Type Assisted Living Facility
Facility Name SPRING MANOR
Street 3610 PALM STREET
City SAINT LOUIS
State MO
ZIP 63107
Phone 314 533-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Assisted Living Facility
Lab Director ALI CHAUDHRY

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