26D0682304 CLIA NUMBER - GRANBY HOUSE INC

Laboratory Demographics

  • CLIA Code: 26D0682304
  • Facility Name: GRANBY HOUSE INC
  • Facility Address: 301 SOUTH MAIN STREET
    GRANBY, MO
    ZIP 64844
  • Facility Phone: 417 472-6271
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY RUCH
  • NPI Number: 1073545067
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0682304
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRANBY HOUSE INC
Street 301 SOUTH MAIN STREET
City GRANBY
State MO
ZIP 64844
Phone 417 472-6271
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 KIMBERLY RUCH

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