26D0888728 CLIA NUMBER - ELDERCARE OF MID- MISSOURI VIII, INC DBA STONEBRIDGE OAK TREE VILLAS

Laboratory Demographics

  • CLIA Code: 26D0888728
  • Facility Name: ELDERCARE OF MID- MISSOURI VIII, INC DBA STONEBRIDGE OAK TREE VILLAS
  • Facility Address: 3108 WEST TRUMAN BLVD
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 893-3063
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEANNA BOKEL
  • NPI Number: 1851415905
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0888728
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELDERCARE OF MID- MISSOURI VIII, INC DBA STONEBRIDGE OAK TREE VILLAS
Street 3108 WEST TRUMAN BLVD
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 893-3063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEANNA BOKEL

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