26D0888684 CLIA NUMBER - MAPLE LAWN NURSING HOME

Laboratory Demographics

  • CLIA Code: 26D0888684
  • Facility Name: MAPLE LAWN NURSING HOME
  • Facility Address: 1410 WEST LINE ST
    PALMYRA, MO
    ZIP 63461
  • Facility Phone: 573 769-2213
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA SHAFFER
  • NPI Number: 1407913932
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0888684
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE LAWN NURSING HOME
Street 1410 WEST LINE ST
City PALMYRA
State MO
ZIP 63461
Phone 573 769-2213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELISSA SHAFFER

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