26D2139456 CLIA NUMBER - AMERICAN HEARTLAND HOSPICE CORP, THE D/B/A GENTIVA

Laboratory Demographics

  • CLIA Code: 26D2139456
  • Facility Name: AMERICAN HEARTLAND HOSPICE CORP, THE D/B/A GENTIVA
  • Facility Address: 21 HAWK RIDGE CIRCLE, SUITE 21
    LAKE SAINT LOUIS, MO
    ZIP 63367
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLY SANDERS
  • NPI Number: 1407047590
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2139456
LAB Type Hospice
Facility Name AMERICAN HEARTLAND HOSPICE CORP, THE D/B/A GENTIVA
Street 21 HAWK RIDGE CIRCLE, SUITE 21
City LAKE SAINT LOUIS
State MO
ZIP 63367
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Hospice
Lab Director KELLY SANDERS

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