26D0962899 CLIA NUMBER - TNMO HEALTHCARE, LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 26D0962899
  • Facility Name: TNMO HEALTHCARE, LLC DBA GENTIVA
  • Facility Address: 2024 MAIDEN LANE, SUITE 202
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1003867458
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D0962899
LAB Type Hospice
Facility Name TNMO HEALTHCARE, LLC DBA GENTIVA
Street 2024 MAIDEN LANE, SUITE 202
City JOPLIN
State MO
ZIP 64804
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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