26D0670829 CLIA NUMBER - GREENVILLE HEALTH CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 26D0670829
  • Facility Name: GREENVILLE HEALTH CARE CENTER, LLC
  • Facility Address: 117 SYCAMORE STREET
    GREENVILLE, MO
    ZIP 63944
  • Facility Phone: 314 543-3816
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIM MCDANIEL
  • NPI Number: 1013058791
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0670829
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREENVILLE HEALTH CARE CENTER, LLC
Street 117 SYCAMORE STREET
City GREENVILLE
State MO
ZIP 63944
Phone 314 543-3816
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 KIM MCDANIEL

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: 6/4/2025