26D0679788 CLIA NUMBER - MEDICALODGES BUTLER

Laboratory Demographics

  • CLIA Code: 26D0679788
  • Facility Name: MEDICALODGES BUTLER
  • Facility Address: 103 EAST NURSERY STREET
    BUTLER, MO
    ZIP 64730
  • Facility Phone: 660 679-3179
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MISTY M BROOKS
  • NPI Number: 1437247053
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0679788
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES BUTLER
Street 103 EAST NURSERY STREET
City BUTLER
State MO
ZIP 64730
Phone 660 679-3179
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 MISTY M BROOKS

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