26D2129297 CLIA NUMBER - THE VILLAS OF JACKSON

Laboratory Demographics

  • CLIA Code: 26D2129297
  • Facility Name: THE VILLAS OF JACKSON
  • Facility Address: 670 BROADRIDGE
    JACKSON, MO
    ZIP 63755
  • Facility Phone: 573 986-8240
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JANICE UNGER
  • NPI Number: 1215438585
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2129297
LAB Type Assisted Living Facility
Facility Name THE VILLAS OF JACKSON
Street 670 BROADRIDGE
City JACKSON
State MO
ZIP 63755
Phone 573 986-8240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Assisted Living Facility
Lab Director JANICE UNGER

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This page was last updated on: 6/4/2025