Healther Providers Data Logo

26D0881683 CLIA NUMBER - APPLETON CITY MANOR

Laboratory Demographics

CLIA Number: 26D0881683

Facility Name: APPLETON CITY MANOR

Facility Address:
600 N OHIO
APPLETON CITY, MO
ZIP 64724
Get Directions

Facility Phone Number: 660 476-2128

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1235127580

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 26D0881683
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name APPLETON CITY MANOR
Street 600 N OHIO
City APPLETON CITY
State MO
ZIP 64724
Phone 660 476-2128
CertificateType 4
CertificateEffectiveDate 1/17/2024
CertificateExpirationDate 1/16/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024