26D1021217 CLIA NUMBER - CAPETOWN ASSISTED LIVING

Laboratory Demographics

CLIA Number: 26D1021217

Facility Name: CAPETOWN ASSISTED LIVING

Facility Address:
2857 CAPE LA CROIX ROAD
CAPE GIRARDEAU, MO
ZIP 63701
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Facility Phone Number: 573 334-4855

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1154474005

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D1021217
LAB Type	Assisted Living Facility
Facility Name	CAPETOWN ASSISTED LIVING
Street	2857 CAPE LA CROIX ROAD
City	CAPE GIRARDEAU
State	MO
ZIP	63701
Phone	573 334-4855
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024