26D0870691 CLIA NUMBER - GOOD SAMARITAN NURSING HOME DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0870691
  • Facility Name: GOOD SAMARITAN NURSING HOME DISTRICT
  • Facility Address: 403 WEST MAIN STREET
    COLE CAMP, MO
    ZIP 65325
  • Facility Phone: 660 668-4515
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA JACKSON
  • NPI Number: 1003817248
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0870691
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SAMARITAN NURSING HOME DISTRICT
Street 403 WEST MAIN STREET
City COLE CAMP
State MO
ZIP 65325
Phone 660 668-4515
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 SARA JACKSON

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This page was last updated on: 6/4/2025