26D2126506 CLIA NUMBER - SKYLINE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D2126506
  • Facility Name: SKYLINE ASSISTED LIVING
  • Facility Address: 100 HARD ROCK ROAD
    VAN BUREN, MO
    ZIP 63965
  • Facility Phone: 573 323-2108
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEFF E. NEWMAN
  • NPI Number: 1205433638
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2126506
LAB Type Assisted Living Facility
Facility Name SKYLINE ASSISTED LIVING
Street 100 HARD ROCK ROAD
City VAN BUREN
State MO
ZIP 63965
Phone 573 323-2108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Assisted Living Facility
Lab Director JEFF E. NEWMAN

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