26D2097524 CLIA NUMBER - HAROLD AND LOUISE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D2097524
  • Facility Name: HAROLD AND LOUISE ASSISTED LIVING
  • Facility Address: 135 COMMUNICATION DRIVE
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 314 543-3805
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: D WILLIAMS WENTRIC
  • NPI Number: 1447630074
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2097524
LAB Type Assisted Living Facility
Facility Name HAROLD AND LOUISE ASSISTED LIVING
Street 135 COMMUNICATION DRIVE
City HANNIBAL
State MO
ZIP 63401
Phone 314 543-3805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Assisted Living Facility
Lab Director D WILLIAMS WENTRIC

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