26D2124142 CLIA NUMBER - OZARK MANOR ALF

Laboratory Demographics

  • CLIA Code: 26D2124142
  • Facility Name: OZARK MANOR ALF
  • Facility Address: 1013 HWY Z
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-8338
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTIN R. HERBST
  • NPI Number: 1851516546
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2124142
LAB Type Assisted Living Facility
Facility Name OZARK MANOR ALF
Street 1013 HWY Z
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-8338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Assisted Living Facility
Lab Director KRISTIN R. HERBST

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