26D0442476 CLIA NUMBER - BEAUTIFUL SAVIOR HOME

Laboratory Demographics

  • CLIA Code: 26D0442476
  • Facility Name: BEAUTIFUL SAVIOR HOME
  • Facility Address: 1003 SOUTH CEDAR STREET
    BELTON, MO
    ZIP 64012
  • Facility Phone: 816 331-0781
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KHALIFA AMMAR
  • NPI Number: 1457395782
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0442476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAUTIFUL SAVIOR HOME
Street 1003 SOUTH CEDAR STREET
City BELTON
State MO
ZIP 64012
Phone 816 331-0781
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 KHALIFA AMMAR

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