26D0673256 CLIA NUMBER - CROWLEY RIDGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0673256
  • Facility Name: CROWLEY RIDGE CARE CENTER
  • Facility Address: 1204 N OUTER ROAD
    DEXTER, MO
    ZIP 63841
  • Facility Phone: 573 624-5557
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DELLA GARRIS
  • NPI Number: 1639165020
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0673256
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROWLEY RIDGE CARE CENTER
Street 1204 N OUTER ROAD
City DEXTER
State MO
ZIP 63841
Phone 573 624-5557
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 DELLA GARRIS

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This page was last updated on: 3/20/2025