26D1059110 CLIA NUMBER - CEDAR RIDGE CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 26D1059110
  • Facility Name: CEDAR RIDGE CARE CENTER, LLC
  • Facility Address: 71 SYCAMORE ST
    CASSVILLE, MO
    ZIP 65625
  • Facility Phone: 417 847-5546
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY K. HOWLETT
  • NPI Number: 1255736518
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1059110
LAB Type Assisted Living Facility
Facility Name CEDAR RIDGE CARE CENTER, LLC
Street 71 SYCAMORE ST
City CASSVILLE
State MO
ZIP 65625
Phone 417 847-5546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Assisted Living Facility
Lab Director MARY K. HOWLETT

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