26D1064547 CLIA NUMBER - ADAMS STREET - A STONEBRIDGE COMM D/B/A STONEBRIDGE ADAMS STREET

Laboratory Demographics

  • CLIA Code: 26D1064547
  • Facility Name: ADAMS STREET - A STONEBRIDGE COMM D/B/A STONEBRIDGE ADAMS STREET
  • Facility Address: 1024 ADAMS STREET
    JEFFERSON CITY, MO
    ZIP 65101
  • Facility Phone: 573 635-1320
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEANNA BOKEL
  • NPI Number: 1245378371
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1064547
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADAMS STREET - A STONEBRIDGE COMM D/B/A STONEBRIDGE ADAMS STREET
Street 1024 ADAMS STREET
City JEFFERSON CITY
State MO
ZIP 65101
Phone 573 635-1320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEANNA BOKEL

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