26D2120449 CLIA NUMBER - GOGGIN BOARDING HOME, LLC

Laboratory Demographics

  • CLIA Code: 26D2120449
  • Facility Name: GOGGIN BOARDING HOME, LLC
  • Facility Address: 620 COUNTY ROAD 40
    CALEDONIA, MO
    ZIP 63631
  • Facility Phone: 573 697-5894
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CONNIE S. GOGGIN
  • NPI Number: 1083249155
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2120449
LAB Type Assisted Living Facility
Facility Name GOGGIN BOARDING HOME, LLC
Street 620 COUNTY ROAD 40
City CALEDONIA
State MO
ZIP 63631
Phone 573 697-5894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Assisted Living Facility
Lab Director CONNIE S. GOGGIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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