26D0908640 CLIA NUMBER - BOONVILLE VALLEY HOPE

Laboratory Demographics

  • CLIA Code: 26D0908640
  • Facility Name: BOONVILLE VALLEY HOPE
  • Facility Address: 1415 ASHLEY ROAD
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 785 877-5111
  • Facility Type: Other - SUBSTANCE USE DISORDER FA
  • Facility Type: Waiver
  • Lab Director: DOREEN GOLDSMITH
  • NPI Number: 1568498228
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0908640
LAB Type Other - SUBSTANCE USE DISORDER FA
Facility Name BOONVILLE VALLEY HOPE
Street 1415 ASHLEY ROAD
City BOONVILLE
State MO
ZIP 65233
Phone 785 877-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Other - SUBSTANCE USE DISORDER FA
Lab Director DOREEN GOLDSMITH

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