26D2118071 CLIA NUMBER - SOUTHGATE LIVING CENTER

Laboratory Demographics

  • CLIA Code: 26D2118071
  • Facility Name: SOUTHGATE LIVING CENTER
  • Facility Address: 500 TRUMAN
    CARUTHERSVILLE, MO
    ZIP 63830
  • Facility Phone: 573 333-5150
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMBER D. CARLISLE
  • NPI Number: 1457708018
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2118071
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHGATE LIVING CENTER
Street 500 TRUMAN
City CARUTHERSVILLE
State MO
ZIP 63830
Phone 573 333-5150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMBER D. CARLISLE

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