26D1104205 CLIA NUMBER - ST CROIX HOSPICE

Laboratory Demographics

  • CLIA Code: 26D1104205
  • Facility Name: ST CROIX HOSPICE
  • Facility Address: 1517 UNION AVE STE D
    MOBERLY, MO
    ZIP 65270
  • Facility Phone: 417 708-9186
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RACHEL CHOATE
  • NPI Number: 1851963391
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D1104205
LAB Type Practitioner Other
Facility Name ST CROIX HOSPICE
Street 1517 UNION AVE STE D
City MOBERLY
State MO
ZIP 65270
Phone 417 708-9186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Practitioner Other
Lab Director RACHEL CHOATE

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