26D0719208 CLIA NUMBER - INDEPENDENCE MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0719208
  • Facility Name: INDEPENDENCE MANOR CARE CENTER
  • Facility Address: 1600 S KINGSHIGHWAY
    INDEPENDENCE, MO
    ZIP 64055
  • Facility Phone: 816 833-4777
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAWNA BAGGERLY
  • NPI Number: 1255436556
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0719208
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INDEPENDENCE MANOR CARE CENTER
Street 1600 S KINGSHIGHWAY
City INDEPENDENCE
State MO
ZIP 64055
Phone 816 833-4777
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 SHAWNA BAGGERLY

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