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26D2049327 CLIA NUMBER - GRACE RELIANT HEALTH SERVICES

Laboratory Demographics

CLIA Number: 26D2049327

Facility Name: GRACE RELIANT HEALTH SERVICES

Facility Address:
2845 INDEPENDENCE STREET
CAPE GIRARDEAU, MO
ZIP 63703
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Facility Phone Number: 573 803-5002

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1013266436

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 26D2049327
LAB Type Home Health Agency
Facility Name GRACE RELIANT HEALTH SERVICES
Street 2845 INDEPENDENCE STREET
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 803-5002
CertificateType 4
CertificateEffectiveDate 6/13/2022
CertificateExpirationDate 6/12/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024