26D0912769 CLIA NUMBER - CARTHAGE RESIDENTIAL LLC DBA MAPLE TREE TERRACE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D0912769
  • Facility Name: CARTHAGE RESIDENTIAL LLC DBA MAPLE TREE TERRACE ASSISTED LIVING
  • Facility Address: 2510 CLINTON
    CARTHAGE, MO
    ZIP 64836
  • Facility Phone: 417 358-7201
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH ISENBERGER
  • NPI Number: 1568419364
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0912769
LAB Type Assisted Living Facility
Facility Name CARTHAGE RESIDENTIAL LLC DBA MAPLE TREE TERRACE ASSISTED LIVING
Street 2510 CLINTON
City CARTHAGE
State MO
ZIP 64836
Phone 417 358-7201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Assisted Living Facility
Lab Director ELIZABETH ISENBERGER

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