26D0969228 CLIA NUMBER - CARROLL HOUSE

Laboratory Demographics

  • CLIA Code: 26D0969228
  • Facility Name: CARROLL HOUSE
  • Facility Address: 307 GRAND AVENUE
    CARROLLTON, MO
    ZIP 64633
  • Facility Phone: 660 542-1599
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GAIL CALVERT
  • NPI Number: 1346236791
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0969228
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARROLL HOUSE
Street 307 GRAND AVENUE
City CARROLLTON
State MO
ZIP 64633
Phone 660 542-1599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GAIL CALVERT

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