26D0441445 CLIA NUMBER - BETH HAVEN NURSING HOME

Laboratory Demographics

  • CLIA Code: 26D0441445
  • Facility Name: BETH HAVEN NURSING HOME
  • Facility Address: 2500 PLEASANT ST
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 221-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL A. EWERT
  • NPI Number: 1154327187
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0441445
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETH HAVEN NURSING HOME
Street 2500 PLEASANT ST
City HANNIBAL
State MO
ZIP 63401
Phone 573 221-6000
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 PAUL A. EWERT

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