26D1034098 CLIA NUMBER - TEAL LAKE ALF

Laboratory Demographics

  • CLIA Code: 26D1034098
  • Facility Name: TEAL LAKE ALF
  • Facility Address: 1722 HUNTINGFIELD DRIVE
    MEXICO, MO
    ZIP 65265
  • Facility Phone: 573 582-7822
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BETSY J. SLUHAN
  • NPI Number: 1568419117
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1034098
LAB Type Assisted Living Facility
Facility Name TEAL LAKE ALF
Street 1722 HUNTINGFIELD DRIVE
City MEXICO
State MO
ZIP 65265
Phone 573 582-7822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Assisted Living Facility
Lab Director BETSY J. SLUHAN

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