26D1032397 CLIA NUMBER - LEGACY HOSPICE

Laboratory Demographics

  • CLIA Code: 26D1032397
  • Facility Name: LEGACY HOSPICE
  • Facility Address: 607 BILLINGTON BOX 2
    KENNETT, MO
    ZIP 63857
  • Facility Phone: 573 888-4946
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CASEY HILLEMANN
  • NPI Number: 1033238233
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D1032397
LAB Type Hospice
Facility Name LEGACY HOSPICE
Street 607 BILLINGTON BOX 2
City KENNETT
State MO
ZIP 63857
Phone 573 888-4946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Hospice
Lab Director CASEY HILLEMANN

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