26D1089236 CLIA NUMBER - HARTMANN VILLAGE

Laboratory Demographics

  • CLIA Code: 26D1089236
  • Facility Name: HARTMANN VILLAGE
  • Facility Address: 615 RANKIN MILL LN
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-9933
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA D. BANKHEAD
  • NPI Number: 1427216555
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1089236
LAB Type Assisted Living Facility
Facility Name HARTMANN VILLAGE
Street 615 RANKIN MILL LN
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-9933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Assisted Living Facility
Lab Director JESSICA D. BANKHEAD

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