26D1084126 CLIA NUMBER - SCOTT NO1, DBA THE COUNTRY PLACE

Laboratory Demographics

  • CLIA Code: 26D1084126
  • Facility Name: SCOTT NO1, DBA THE COUNTRY PLACE
  • Facility Address: 28601 US HWY 61
    SCOTT CITY, MO
    ZIP 63780
  • Facility Phone: 573 264-1555
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CANDICE EVANS
  • NPI Number: 1851844559
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1084126
LAB Type Assisted Living Facility
Facility Name SCOTT NO1, DBA THE COUNTRY PLACE
Street 28601 US HWY 61
City SCOTT CITY
State MO
ZIP 63780
Phone 573 264-1555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Assisted Living Facility
Lab Director CANDICE EVANS

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