26D1085716 CLIA NUMBER - COTTONWOOD RESIDENTIAL TREATMENT CTR

Laboratory Demographics

  • CLIA Code: 26D1085716
  • Facility Name: COTTONWOOD RESIDENTIAL TREATMENT CTR
  • Facility Address: 2852 INDEPENDENCE ST
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 290-5888
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHERRY M. HOFFMAN
  • NPI Number: 1013096544
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1085716
LAB Type Other
Facility Name COTTONWOOD RESIDENTIAL TREATMENT CTR
Street 2852 INDEPENDENCE ST
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 290-5888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Other
Lab Director CHERRY M. HOFFMAN

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