26D2078238 CLIA NUMBER - ST AGNES HOME

Laboratory Demographics

  • CLIA Code: 26D2078238
  • Facility Name: ST AGNES HOME
  • Facility Address: 10341 MANCHESTER ROAD
    KIRKWOOD, MO
    ZIP 63122
  • Facility Phone: 314 965-7616
  • Facility Type: Other - IMMEDIATE CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: JULIA WITTENAUER
  • NPI Number: 1417170150
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2078238
LAB Type Other - IMMEDIATE CARE FACILITY
Facility Name ST AGNES HOME
Street 10341 MANCHESTER ROAD
City KIRKWOOD
State MO
ZIP 63122
Phone 314 965-7616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - IMMEDIATE CARE FACILITY
Lab Director JULIA WITTENAUER

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