26D0985387 CLIA NUMBER - N & R OF MONTICELLO INC DBA MONTICELLO HOUSE

Laboratory Demographics

  • CLIA Code: 26D0985387
  • Facility Name: N & R OF MONTICELLO INC DBA MONTICELLO HOUSE
  • Facility Address: 1115 K LAND DRIVE
    JACKSON, MO
    ZIP 63755
  • Facility Phone: 573 243-8989
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY JEAN WILCOX
  • NPI Number: 1083600340
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0985387
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name N & R OF MONTICELLO INC DBA MONTICELLO HOUSE
Street 1115 K LAND DRIVE
City JACKSON
State MO
ZIP 63755
Phone 573 243-8989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY JEAN WILCOX

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