26D1038551 CLIA NUMBER - LICKING RESIDENTIAL CARE LICKING RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 26D1038551
  • Facility Name: LICKING RESIDENTIAL CARE LICKING RESIDENTIAL CARE
  • Facility Address: 225 W HWY 32
    LICKING, MO
    ZIP 65542
  • Facility Phone: 417 425-3062
  • Facility Type: Other - RCF II
  • Facility Type: Waiver
  • Lab Director: RHONDA OVERBY
  • NPI Number: 1275530776
  • Taxonomy: 311ZA0620X - Custodial Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1038551
LAB Type Other - RCF II
Facility Name LICKING RESIDENTIAL CARE LICKING RESIDENTIAL CARE
Street 225 W HWY 32
City LICKING
State MO
ZIP 65542
Phone 417 425-3062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other - RCF II
Lab Director RHONDA OVERBY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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