26D0910427 CLIA NUMBER - CAPE GIRARDEAU RESIDENTIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0910427
  • Facility Name: CAPE GIRARDEAU RESIDENTIAL CARE CENTER
  • Facility Address: 2910 BEAVER CREEK DRIVE
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Facility Phone: 573 651-0199
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANDY BLAGG
  • NPI Number: 1003863994
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0910427
LAB Type Assisted Living Facility
Facility Name CAPE GIRARDEAU RESIDENTIAL CARE CENTER
Street 2910 BEAVER CREEK DRIVE
City CAPE GIRARDEAU
State MO
ZIP 63701
Phone 573 651-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Assisted Living Facility
Lab Director ANDY BLAGG

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