26D2071712 CLIA NUMBER - GARDEN VILLAS NORTH ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D2071712
  • Facility Name: GARDEN VILLAS NORTH ASSISTED LIVING
  • Facility Address: 4505 PARKER RD
    FLORISSANT, MO
    ZIP 63033
  • Facility Phone: 314 355-6100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BABU DANDAMUDI
  • NPI Number: 1497164834
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2071712
LAB Type Assisted Living Facility
Facility Name GARDEN VILLAS NORTH ASSISTED LIVING
Street 4505 PARKER RD
City FLORISSANT
State MO
ZIP 63033
Phone 314 355-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Assisted Living Facility
Lab Director BABU DANDAMUDI

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