26D0652422 CLIA NUMBER - CASSVILLE HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 26D0652422
  • Facility Name: CASSVILLE HEALTHCARE LLC
  • Facility Address: 1300 COUNTRY FARM ROAD
    CASSVILLE, MO
    ZIP 65625
  • Facility Phone: 417 847-3386
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT BUTCH BRIMM
  • NPI Number: 1861931453
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0652422
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASSVILLE HEALTHCARE LLC
Street 1300 COUNTRY FARM ROAD
City CASSVILLE
State MO
ZIP 65625
Phone 417 847-3386
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 ROBERT BUTCH BRIMM

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