26D0987821 CLIA NUMBER - SAFE HARBOR HOSPICE, LLC DBA LEGACY HOSPICE

Laboratory Demographics

  • CLIA Code: 26D0987821
  • Facility Name: SAFE HARBOR HOSPICE, LLC DBA LEGACY HOSPICE
  • Facility Address: 101 KINGSBURY BLVD
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-7625
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE N. SANDERS
  • NPI Number: 1215084876
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D0987821
LAB Type Hospice
Facility Name SAFE HARBOR HOSPICE, LLC DBA LEGACY HOSPICE
Street 101 KINGSBURY BLVD
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-7625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Hospice
Lab Director KATIE N. SANDERS

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