26D0932181 CLIA NUMBER - POTOSI MANOR

Laboratory Demographics

  • CLIA Code: 26D0932181
  • Facility Name: POTOSI MANOR
  • Facility Address: 307 SOUTH HWY 21
    POTOSI, MO
    ZIP 63664
  • Facility Phone: 573 438-3225
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WEIR
  • NPI Number: 1053307322
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0932181
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name POTOSI MANOR
Street 307 SOUTH HWY 21
City POTOSI
State MO
ZIP 63664
Phone 573 438-3225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY WEIR

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