26D0912152 CLIA NUMBER - HERITAGE RESIDENTIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0912152
  • Facility Name: HERITAGE RESIDENTIAL CARE CENTER
  • Facility Address: 1806 SAINT FRANCIS
    KENNETT, MO
    ZIP 63857
  • Facility Phone: 573 888-1188
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TONI HOLCOMB
  • NPI Number: 1851348510
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0912152
LAB Type Assisted Living Facility
Facility Name HERITAGE RESIDENTIAL CARE CENTER
Street 1806 SAINT FRANCIS
City KENNETT
State MO
ZIP 63857
Phone 573 888-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Assisted Living Facility
Lab Director TONI HOLCOMB

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This page was last updated on: 3/20/2025