26D0894430 CLIA NUMBER - SALT RIVER COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 26D0894430
  • Facility Name: SALT RIVER COMMUNITY CARE
  • Facility Address: 142 SHELBY PLAZA ROAD
    SHELBINA, MO
    ZIP 63468
  • Facility Phone: 573 588-4175
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK A. ANGLES
  • NPI Number: 1801880547
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0894430
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SALT RIVER COMMUNITY CARE
Street 142 SHELBY PLAZA ROAD
City SHELBINA
State MO
ZIP 63468
Phone 573 588-4175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK A. ANGLES

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