26D2073991 CLIA NUMBER - PARK PLACE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 26D2073991
  • Facility Name: PARK PLACE SENIOR LIVING
  • Facility Address: 2000 BOARDWALK PLACE DRIVE
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 625-2906
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DENISE CAIMI
  • NPI Number: 1962531079
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2073991
LAB Type Assisted Living Facility
Facility Name PARK PLACE SENIOR LIVING
Street 2000 BOARDWALK PLACE DRIVE
City O FALLON
State MO
ZIP 63368
Phone 636 625-2906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Assisted Living Facility
Lab Director DENISE CAIMI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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