26D2105952 CLIA NUMBER - DOUGHERTY FERRY ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 26D2105952
  • Facility Name: DOUGHERTY FERRY ASSISTED LIVING & MEMORY CARE
  • Facility Address: 2929 DOUGHERTY FERRY RD
    KIRKWOOD, MO
    ZIP 63122
  • Facility Phone: 636 825-6665
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELE MURPHY
  • NPI Number: 1720303456
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2105952
LAB Type Assisted Living Facility
Facility Name DOUGHERTY FERRY ASSISTED LIVING & MEMORY CARE
Street 2929 DOUGHERTY FERRY RD
City KIRKWOOD
State MO
ZIP 63122
Phone 636 825-6665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Assisted Living Facility
Lab Director MICHELE MURPHY

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