26D0891146 CLIA NUMBER - SHELBINA VILLA LIFECARE

Laboratory Demographics

  • CLIA Code: 26D0891146
  • Facility Name: SHELBINA VILLA LIFECARE
  • Facility Address: 218 E SHELBINA AVE
    SHELBINA, MO
    ZIP 63468
  • Facility Phone: 573 588-4115
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIM THOMPSON
  • NPI Number: 1972620987
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0891146
LAB Type Assisted Living Facility
Facility Name SHELBINA VILLA LIFECARE
Street 218 E SHELBINA AVE
City SHELBINA
State MO
ZIP 63468
Phone 573 588-4115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Assisted Living Facility
Lab Director KIM THOMPSON

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