26D0445432 CLIA NUMBER - MEDICALODGE OF NEVADA

Laboratory Demographics

  • CLIA Code: 26D0445432
  • Facility Name: MEDICALODGE OF NEVADA
  • Facility Address: 1210 W ASHLAND
    NEVADA, MO
    ZIP 64772
  • Facility Phone: 417 667-5064
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN G. HOUSER
  • NPI Number: 1528155470
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0445432
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGE OF NEVADA
Street 1210 W ASHLAND
City NEVADA
State MO
ZIP 64772
Phone 417 667-5064
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 SUSAN G. HOUSER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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