26D0719103 CLIA NUMBER - FOUR SEASONS RESIDENTIAL FACILITY

Laboratory Demographics

  • CLIA Code: 26D0719103
  • Facility Name: FOUR SEASONS RESIDENTIAL FACILITY
  • Facility Address: 230 RAILROAD STREET
    MOSCOW MILLS, MO
    ZIP 63362
  • Facility Phone: 636 366-4231
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BARBARA A. MOORE
  • NPI Number: 1023615622
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0719103
LAB Type Assisted Living Facility
Facility Name FOUR SEASONS RESIDENTIAL FACILITY
Street 230 RAILROAD STREET
City MOSCOW MILLS
State MO
ZIP 63362
Phone 636 366-4231
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 Assisted Living Facility
Lab Director BARBARA A. MOORE

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