26D0677200 CLIA NUMBER - MEDICALODGES NEOSHO

Laboratory Demographics

  • CLIA Code: 26D0677200
  • Facility Name: MEDICALODGES NEOSHO
  • Facility Address: 400 WEST LYON DRIVE
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 451-2544
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARLANE E. WILLIAMS
  • NPI Number: 1538257134
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0677200
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES NEOSHO
Street 400 WEST LYON DRIVE
City NEOSHO
State MO
ZIP 64850
Phone 417 451-2544
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 MARLANE E. WILLIAMS

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