26D0897269 CLIA NUMBER - CENTRAL GARDENS

Laboratory Demographics

  • CLIA Code: 26D0897269
  • Facility Name: CENTRAL GARDENS
  • Facility Address: 302 NORTH ELM STREET
    DEXTER, MO
    ZIP 63841
  • Facility Phone: 573 624-0011
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLEY POLEN
  • NPI Number: 1548483944
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0897269
LAB Type Assisted Living Facility
Facility Name CENTRAL GARDENS
Street 302 NORTH ELM STREET
City DEXTER
State MO
ZIP 63841
Phone 573 624-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Assisted Living Facility
Lab Director KIMBERLEY POLEN

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