26D2251658 CLIA NUMBER - BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY

Laboratory Demographics

  • CLIA Code: 26D2251658
  • Facility Name: BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY
  • Facility Address: 677 CRAIG ROAD SUITE 204
    CREVE COEUR, MO
    ZIP 63141
  • Facility Phone: 314 649-5586
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LINDSAY SHANEKIA
  • NPI Number: 1023655198
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2251658
LAB Type Home Health Agency
Facility Name BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY
Street 677 CRAIG ROAD SUITE 204
City CREVE COEUR
State MO
ZIP 63141
Phone 314 649-5586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Home Health Agency
Lab Director LINDSAY SHANEKIA

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This page was last updated on: 6/4/2025