26D2073949 CLIA NUMBER - MAYWOOD MANOR

Laboratory Demographics

  • CLIA Code: 26D2073949
  • Facility Name: MAYWOOD MANOR
  • Facility Address: 1041 WEST TRUMAN BLVD
    INDEPENDENCE, MO
    ZIP 64050
  • Facility Phone: 816 254-6789
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY L. SMITH
  • NPI Number: 1831302827
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2073949
LAB Type Assisted Living Facility
Facility Name MAYWOOD MANOR
Street 1041 WEST TRUMAN BLVD
City INDEPENDENCE
State MO
ZIP 64050
Phone 816 254-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Assisted Living Facility
Lab Director TAMMY L. SMITH

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