26D0876264 CLIA NUMBER - EAST PRAIRIE NURSING CENTER

Laboratory Demographics

  • CLIA Code: 26D0876264
  • Facility Name: EAST PRAIRIE NURSING CENTER
  • Facility Address: 186 MILLAR ROAD PO BOX 299
    EAST PRAIRIE, MO
    ZIP 63845
  • Facility Phone: 573 649-3551
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEGAN WHEATLEY
  • NPI Number: 1831185131
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0876264
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EAST PRAIRIE NURSING CENTER
Street 186 MILLAR ROAD PO BOX 299
City EAST PRAIRIE
State MO
ZIP 63845
Phone 573 649-3551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2023
Certificate Expiration Date 9/14/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MEGAN WHEATLEY

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This page was last updated on: 3/20/2025