26D0913694 CLIA NUMBER - CRYSTAL OAKS RESIDENTIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0913694
  • Facility Name: CRYSTAL OAKS RESIDENTIAL CARE CENTER
  • Facility Address: 1500 CALVARY CHURCH RD
    CRYSTAL CITY, MO
    ZIP 63019
  • Facility Phone: 636 933-3977
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TAMMY CASHION DON
  • NPI Number: 1467592618
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0913694
LAB Type Other
Facility Name CRYSTAL OAKS RESIDENTIAL CARE CENTER
Street 1500 CALVARY CHURCH RD
City CRYSTAL CITY
State MO
ZIP 63019
Phone 636 933-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Other
Lab Director TAMMY CASHION DON

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