26D0936329 CLIA NUMBER - HENLEY PLACE OF NEOSHO

Laboratory Demographics

  • CLIA Code: 26D0936329
  • Facility Name: HENLEY PLACE OF NEOSHO
  • Facility Address: 1105 VILLAGE ROAD
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 451-1000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DIANA L. WOOD
  • NPI Number: 1689621435
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0936329
LAB Type Assisted Living Facility
Facility Name HENLEY PLACE OF NEOSHO
Street 1105 VILLAGE ROAD
City NEOSHO
State MO
ZIP 64850
Phone 417 451-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Assisted Living Facility
Lab Director DIANA L. WOOD

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