26D0902481 CLIA NUMBER - PINE VIEW MANOR INC

Laboratory Demographics

  • CLIA Code: 26D0902481
  • Facility Name: PINE VIEW MANOR INC
  • Facility Address: 307 N PINEVIEW STREET
    STANBERRY, MO
    ZIP 64489
  • Facility Phone: 660 783-2118
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA D. MARTIN
  • NPI Number: 1578565578
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0902481
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VIEW MANOR INC
Street 307 N PINEVIEW STREET
City STANBERRY
State MO
ZIP 64489
Phone 660 783-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELA D. MARTIN

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This page was last updated on: 6/4/2025