26D0652431 CLIA NUMBER - LACOBA HOMES INC

Laboratory Demographics

  • CLIA Code: 26D0652431
  • Facility Name: LACOBA HOMES INC
  • Facility Address: 850 HWY 60
    MONETT, MO
    ZIP 65708
  • Facility Phone: 417 235-7895
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. BALDUS
  • NPI Number: 1558362087
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0652431
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LACOBA HOMES INC
Street 850 HWY 60
City MONETT
State MO
ZIP 65708
Phone 417 235-7895
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 MICHAEL D. BALDUS

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