26D2100540 CLIA NUMBER - BEACON OF HOPE HOSPICE OF MISSOURI, INC

Laboratory Demographics

CLIA Number: 26D2100540

Facility Name: BEACON OF HOPE HOSPICE OF MISSOURI, INC

Facility Address:
801 NW ST MARY'S DR, SUITE 205
BLUE SPRINGS, MO
ZIP 64014
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Facility Phone Number: 816 267-4006

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1528468691

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	26D2100540
LAB Type	Hospice
Facility Name	BEACON OF HOPE HOSPICE OF MISSOURI, INC
Street	801 NW ST MARY'S DR, SUITE 205
City	BLUE SPRINGS
State	MO
ZIP	64014
Phone	816 267-4006
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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