26D0924309 CLIA NUMBER - MAPLE RIDGE RESIDENTIAL CARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D0924309
  • Facility Name: MAPLE RIDGE RESIDENTIAL CARE CENTER LLC
  • Facility Address: 1034 DORIS DRIVE
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 760-0155
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: KAREN VEACH
  • NPI Number: 1992822639
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0924309
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name MAPLE RIDGE RESIDENTIAL CARE CENTER LLC
Street 1034 DORIS DRIVE
City FARMINGTON
State MO
ZIP 63640
Phone 573 760-0155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director KAREN VEACH

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