26D0906274 CLIA NUMBER - SALEM RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 26D0906274
  • Facility Name: SALEM RESIDENTIAL CARE
  • Facility Address: 1207 EAST ROOSEVELT
    SALEM, MO
    ZIP 65560
  • Facility Phone: 417 425-3062
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PAM NASH
  • NPI Number: 1518964006
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0906274
LAB Type Assisted Living Facility
Facility Name SALEM RESIDENTIAL CARE
Street 1207 EAST ROOSEVELT
City SALEM
State MO
ZIP 65560
Phone 417 425-3062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Assisted Living Facility
Lab Director PAM NASH

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