26D1086799 CLIA NUMBER - COUNTRY AIRE ESTATES

Laboratory Demographics

  • CLIA Code: 26D1086799
  • Facility Name: COUNTRY AIRE ESTATES
  • Facility Address: 49303 RENSSELAER LN
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 221-5400
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GEORGIA M. NOLAND
  • NPI Number: 1326113077
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1086799
LAB Type Other
Facility Name COUNTRY AIRE ESTATES
Street 49303 RENSSELAER LN
City HANNIBAL
State MO
ZIP 63401
Phone 573 221-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Other
Lab Director GEORGIA M. NOLAND

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