26D1080181 CLIA NUMBER - PORTIA'S RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 26D1080181
  • Facility Name: PORTIA'S RESIDENTIAL CARE
  • Facility Address: 307 NORTH BROADWAY
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 686-3446
  • Facility Type: Other - RESIDENTIAL CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: BRENDA K. PRICE
  • NPI Number: 1548649643
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1080181
LAB Type Other - RESIDENTIAL CARE FACILITY
Facility Name PORTIA'S RESIDENTIAL CARE
Street 307 NORTH BROADWAY
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 686-3446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Other - RESIDENTIAL CARE FACILITY
Lab Director BRENDA K. PRICE

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