26D0441792 CLIA NUMBER - COMMUNITY MANOR

Laboratory Demographics

  • CLIA Code: 26D0441792
  • Facility Name: COMMUNITY MANOR
  • Facility Address: 783 WEBER ROAD
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 756-8998
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAURA MACE
  • NPI Number: 1801981089
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0441792
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMMUNITY MANOR
Street 783 WEBER ROAD
City FARMINGTON
State MO
ZIP 63640
Phone 573 756-8998
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 LAURA MACE

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