26D0957816 CLIA NUMBER - CRANE RESIDENTIAL CARE HOME

Laboratory Demographics

  • CLIA Code: 26D0957816
  • Facility Name: CRANE RESIDENTIAL CARE HOME
  • Facility Address: 102 LILLIAN STREET
    CRANE, MO
    ZIP 65633
  • Facility Phone: 417 723-5900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TROY H. DAVIDSON III
  • NPI Number: 1730219973
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0957816
LAB Type Other
Facility Name CRANE RESIDENTIAL CARE HOME
Street 102 LILLIAN STREET
City CRANE
State MO
ZIP 65633
Phone 417 723-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other
Lab Director TROY H. DAVIDSON III

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