26D0915097 CLIA NUMBER - CHURCHILL TERRACE

Laboratory Demographics

  • CLIA Code: 26D0915097
  • Facility Name: CHURCHILL TERRACE
  • Facility Address: 120 N HOSPITAL DRIVE
    FULTON, MO
    ZIP 65251
  • Facility Phone: 573 642-5222
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JONI R. UNGER
  • NPI Number: 1467408716
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0915097
LAB Type Assisted Living Facility
Facility Name CHURCHILL TERRACE
Street 120 N HOSPITAL DRIVE
City FULTON
State MO
ZIP 65251
Phone 573 642-5222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Assisted Living Facility
Lab Director JONI R. UNGER

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