26D2085596 CLIA NUMBER - BLUE CASTLE LLC

Laboratory Demographics

  • CLIA Code: 26D2085596
  • Facility Name: BLUE CASTLE LLC
  • Facility Address: 1830 E LAVERNE
    BOLIVAR, MO
    ZIP 65613
  • Facility Phone: 417 777-2583
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KATIE LYNN ROWETON
  • NPI Number: 1245303171
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2085596
LAB Type Assisted Living Facility
Facility Name BLUE CASTLE LLC
Street 1830 E LAVERNE
City BOLIVAR
State MO
ZIP 65613
Phone 417 777-2583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Assisted Living Facility
Lab Director KATIE LYNN ROWETON

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