26D0889184 CLIA NUMBER - CHILLICOTHE MANOR

Laboratory Demographics

  • CLIA Code: 26D0889184
  • Facility Name: CHILLICOTHE MANOR
  • Facility Address: 1301 MONROE STREET
    CHILLICOTHE, MO
    ZIP 64601
  • Facility Phone: 660 646-5180
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: TAMMI S. VENNEMAN
  • NPI Number: 1679902654
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0889184
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name CHILLICOTHE MANOR
Street 1301 MONROE STREET
City CHILLICOTHE
State MO
ZIP 64601
Phone 660 646-5180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director TAMMI S. VENNEMAN

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