26D1055016 CLIA NUMBER - ASHBURY HEIGHTS OF FAYETTE

Laboratory Demographics

  • CLIA Code: 26D1055016
  • Facility Name: ASHBURY HEIGHTS OF FAYETTE
  • Facility Address: 200 GROCE STREET
    FAYETTE, MO
    ZIP 65248
  • Facility Phone: 660 826-0200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY JOHNSON
  • NPI Number: 1861608812
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1055016
LAB Type Assisted Living Facility
Facility Name ASHBURY HEIGHTS OF FAYETTE
Street 200 GROCE STREET
City FAYETTE
State MO
ZIP 65248
Phone 660 826-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Assisted Living Facility
Lab Director MARY JOHNSON

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