26D2196799 CLIA NUMBER - SUNRISE OF DES PERES

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Laboratory Demographics

CLIA Number: 26D2196799

Facility Name: SUNRISE OF DES PERES

Facility Address:
13460 MANCHESTER ROAD
DES PERES, MO
ZIP 63131
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Facility Phone Number: 314 965-3800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1417112608

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D2196799
LAB Type	Assisted Living Facility
Facility Name	SUNRISE OF DES PERES
Street	13460 MANCHESTER ROAD
City	DES PERES
State	MO
ZIP	63131
Phone	314 965-3800
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024