26D0446425 CLIA NUMBER - ASHLEY MANOR HEALTH & REHABILITAION

Laboratory Demographics

  • CLIA Code: 26D0446425
  • Facility Name: ASHLEY MANOR HEALTH & REHABILITAION
  • Facility Address: 1630 RADIO HILL ROAD
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-6584
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER DEGRAFFENREID
  • NPI Number: 1982709457
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0446425
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASHLEY MANOR HEALTH & REHABILITAION
Street 1630 RADIO HILL ROAD
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-6584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER DEGRAFFENREID

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