26D2157194 CLIA NUMBER - 110 PERRY CATE OPCO LLC

Laboratory Demographics

  • CLIA Code: 26D2157194
  • Facility Name: 110 PERRY CATE OPCO LLC
  • Facility Address: 110 PERRY CATE BLVD
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 698-9458
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACY CECIL
  • NPI Number: 1942334289
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 26D2157194
LAB Type Assisted Living Facility
Facility Name 110 PERRY CATE OPCO LLC
Street 110 PERRY CATE BLVD
City WENTZVILLE
State MO
ZIP 63385
Phone 636 698-9458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Assisted Living Facility
Lab Director TRACY CECIL

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