26D0971454 CLIA NUMBER - COLONIAL MANOR, LLC

Laboratory Demographics

CLIA Code: 26D0971454
Facility Name: COLONIAL MANOR, LLC
Facility Address: 907 W MALONE
SIKESTON, MO
ZIP 63801
Facility Phone: 573 471-5541
Facility Type: Skilled Nursing Facility/Nursing Facility
Facility Type: Waiver
Lab Director: LINDA F. ATCHLEY
NPI Number: 1437219508
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	26D0971454
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	COLONIAL MANOR, LLC
Street	907 W MALONE
City	SIKESTON
State	MO
ZIP	63801
Phone	573 471-5541
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/14/2024
Certificate Expiration Date	3/13/2026
Facility Type	Skilled Nursing Facility/Nursing Facility
Lab Director	LINDA F. ATCHLEY

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