26D0955746 CLIA NUMBER - LAKESIDE MOUNTAIN MANOR

Laboratory Demographics

  • CLIA Code: 26D0955746
  • Facility Name: LAKESIDE MOUNTAIN MANOR
  • Facility Address: 238 HARMONY HEIGHTS
    FORSYTH, MO
    ZIP 65653
  • Facility Phone: 417 546-5595
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN DROLL
  • NPI Number: 1932391893
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D0955746
LAB Type Other
Facility Name LAKESIDE MOUNTAIN MANOR
Street 238 HARMONY HEIGHTS
City FORSYTH
State MO
ZIP 65653
Phone 417 546-5595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other
Lab Director JOHN DROLL

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