26D1070106 CLIA NUMBER - HEISINGER BLUFFS HEALTHCARE WESTERN CAMPUS

Laboratory Demographics

  • CLIA Code: 26D1070106
  • Facility Name: HEISINGER BLUFFS HEALTHCARE WESTERN CAMPUS
  • Facility Address: 1306 WEST MAIN STREET
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 635-0166
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHAD WITT
  • NPI Number: 1356556625
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1070106
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEISINGER BLUFFS HEALTHCARE WESTERN CAMPUS
Street 1306 WEST MAIN STREET
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 635-0166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHAD WITT

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