26D2126912 CLIA NUMBER - CRAWFORD RANCH BOARDNG HOME LLC

Laboratory Demographics

  • CLIA Code: 26D2126912
  • Facility Name: CRAWFORD RANCH BOARDNG HOME LLC
  • Facility Address: 2200 VARVERA RD
    DOE RUN, MO
    ZIP 63637
  • Facility Phone: 573 756-4656
  • Facility Type: Other - RCF
  • Facility Type: Waiver
  • Lab Director: DENNIS E. CRAWFORD JR
  • NPI Number: 1457524761
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2126912
LAB Type Other - RCF
Facility Name CRAWFORD RANCH BOARDNG HOME LLC
Street 2200 VARVERA RD
City DOE RUN
State MO
ZIP 63637
Phone 573 756-4656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Other - RCF
Lab Director DENNIS E. CRAWFORD JR

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