26D0446609 CLIA NUMBER - NORTH VILLAGE PARK

Laboratory Demographics

  • CLIA Code: 26D0446609
  • Facility Name: NORTH VILLAGE PARK
  • Facility Address: 2041 SILVA LN
    MOBERLY, MO
    ZIP 65270
  • Facility Phone: 660 263-1894
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN WILLIAMS
  • NPI Number: 1821085655
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0446609
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTH VILLAGE PARK
Street 2041 SILVA LN
City MOBERLY
State MO
ZIP 65270
Phone 660 263-1894
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 KEVIN WILLIAMS

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