26D0913711 CLIA NUMBER - COUNTRY CLUB CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D0913711
  • Facility Name: COUNTRY CLUB CARE CENTER
  • Facility Address: 503 REGENT DRIVE
    WARRENSBURG, MO
    ZIP 64093
  • Facility Phone: 660 429-4444
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILMA LONG
  • NPI Number: 1104584416
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0913711
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COUNTRY CLUB CARE CENTER
Street 503 REGENT DRIVE
City WARRENSBURG
State MO
ZIP 64093
Phone 660 429-4444
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 Skilled Nursing Facility/Nursing Facility
Lab Director WILMA LONG

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