26D0665219 CLIA NUMBER - LIFE CARE CENTER OF CAPE GIRARDEAU

Laboratory Demographics

  • CLIA Code: 26D0665219
  • Facility Name: LIFE CARE CENTER OF CAPE GIRARDEAU
  • Facility Address: 365 S BROADVIEW
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 335-2398
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAMYE WHITTEN
  • NPI Number: 1427005032
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0665219
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF CAPE GIRARDEAU
Street 365 S BROADVIEW
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 335-2398
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 MAMYE WHITTEN

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