26D1087932 CLIA NUMBER - THREE RIVERS HOSPICE SOUTH

Laboratory Demographics

  • CLIA Code: 26D1087932
  • Facility Name: THREE RIVERS HOSPICE SOUTH
  • Facility Address: 600 MAIN
    MOUNTAIN GROVE, MO
    ZIP 65711
  • Facility Phone: 417 926-3373
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DONNA BEAN
  • NPI Number: 1033236195
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1087932
LAB Type Hospice
Facility Name THREE RIVERS HOSPICE SOUTH
Street 600 MAIN
City MOUNTAIN GROVE
State MO
ZIP 65711
Phone 417 926-3373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Hospice
Lab Director DONNA BEAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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