26D0652358 CLIA NUMBER - LHCG CXXXXIII, LLC DBA CAPITAL REGION HOME HEALTH

Laboratory Demographics

  • CLIA Code: 26D0652358
  • Facility Name: LHCG CXXXXIII, LLC DBA CAPITAL REGION HOME HEALTH
  • Facility Address: 1125 MADISON STREET, SUITE C
    JEFFERSON CITY, MO
    ZIP 65101
  • Facility Phone: 573 632-5750
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: THERESA RODDEN
  • NPI Number: 1619468527
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D0652358
LAB Type Home Health Agency
Facility Name LHCG CXXXXIII, LLC DBA CAPITAL REGION HOME HEALTH
Street 1125 MADISON STREET, SUITE C
City JEFFERSON CITY
State MO
ZIP 65101
Phone 573 632-5750
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 Home Health Agency
Lab Director THERESA RODDEN

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