26D0442602 CLIA NUMBER - LUTHERAN GOOD SHEPHERD HOME

Laboratory Demographics

  • CLIA Code: 26D0442602
  • Facility Name: LUTHERAN GOOD SHEPHERD HOME
  • Facility Address: 202 SOUTH WEST
    CONCORDIA, MO
    ZIP 64020
  • Facility Phone: 660 463-2267
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHERRY GRAHAM
  • NPI Number: 1760475842
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0442602
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHERAN GOOD SHEPHERD HOME
Street 202 SOUTH WEST
City CONCORDIA
State MO
ZIP 64020
Phone 660 463-2267
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 SHERRY GRAHAM

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