26D0925210 CLIA NUMBER - BLUFF CREEK TERRACE

Laboratory Demographics

  • CLIA Code: 26D0925210
  • Facility Name: BLUFF CREEK TERRACE
  • Facility Address: 3104 BLUFF CREEK TERRACE
    COLUMBIA, MO
    ZIP 65201
  • Facility Phone: 573 815-9111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL C. JACOB
  • NPI Number: 1144277039
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0925210
LAB Type Assisted Living Facility
Facility Name BLUFF CREEK TERRACE
Street 3104 BLUFF CREEK TERRACE
City COLUMBIA
State MO
ZIP 65201
Phone 573 815-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Assisted Living Facility
Lab Director DANIEL C. JACOB

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