26D0715034 CLIA NUMBER - CHARLESTON MANOR

Laboratory Demographics

  • CLIA Code: 26D0715034
  • Facility Name: CHARLESTON MANOR
  • Facility Address: 1220 E MARSHALL
    CHARLESTON, MO
    ZIP 63834
  • Facility Phone: 573 638-3721
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NORMA NEWELL
  • NPI Number: 1184988834
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D0715034
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHARLESTON MANOR
Street 1220 E MARSHALL
City CHARLESTON
State MO
ZIP 63834
Phone 573 638-3721
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 NORMA NEWELL

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