26D0720524 CLIA NUMBER - KIDWELL HOME

Laboratory Demographics

  • CLIA Code: 26D0720524
  • Facility Name: KIDWELL HOME
  • Facility Address: 1000 KIDWELL DRIVE
    VERSAILLES, MO
    ZIP 65084
  • Facility Phone: 573 539-2493
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: APRIL D. ZORDEL
  • NPI Number: 1649453408
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0720524
LAB Type Assisted Living Facility
Facility Name KIDWELL HOME
Street 1000 KIDWELL DRIVE
City VERSAILLES
State MO
ZIP 65084
Phone 573 539-2493
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 APRIL D. ZORDEL

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