26D0922337 CLIA NUMBER - ANNA DODSON HOME

Laboratory Demographics

CLIA Code: 26D0922337
Facility Name: ANNA DODSON HOME
Facility Address: 4616 HWY D
FARMINGTON, MO
ZIP 63640
Facility Phone: 573 756-5530
Facility Type: Other
Facility Type: Waiver
Lab Director: PENNY R. MCDOWELL
NPI Number: 1902369663
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	26D0922337
LAB Type	Other
Facility Name	ANNA DODSON HOME
Street	4616 HWY D
City	FARMINGTON
State	MO
ZIP	63640
Phone	573 756-5530
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/21/2024
Certificate Expiration Date	11/20/2026
Facility Type	Other
Lab Director	PENNY R. MCDOWELL

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