26D0437765 CLIA NUMBER - PACIFIC MANOR LLC DBA PACIFIC CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0437765
  • Facility Name: PACIFIC MANOR LLC DBA PACIFIC CARE CENTER
  • Facility Address: 105 S 6TH ST
    PACIFIC, MO
    ZIP 63069
  • Facility Phone: 636 271-4222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMANTHA ELLIOTT-REIFSTECK
  • NPI Number: 1265091755
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0437765
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PACIFIC MANOR LLC DBA PACIFIC CARE CENTER
Street 105 S 6TH ST
City PACIFIC
State MO
ZIP 63069
Phone 636 271-4222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMANTHA ELLIOTT-REIFSTECK

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