26D0870477 CLIA NUMBER - INDEPENDENCE CARE CENTER OF PERRY COUNTY

Laboratory Demographics

  • CLIA Code: 26D0870477
  • Facility Name: INDEPENDENCE CARE CENTER OF PERRY COUNTY
  • Facility Address: 800 S KINGSHIGHWAY
    PERRYVILLE, MO
    ZIP 63775
  • Facility Phone: 573 547-6546
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANA KORANDO
  • NPI Number: 1619963972
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0870477
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INDEPENDENCE CARE CENTER OF PERRY COUNTY
Street 800 S KINGSHIGHWAY
City PERRYVILLE
State MO
ZIP 63775
Phone 573 547-6546
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 DANA KORANDO

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