26D2129775 CLIA NUMBER - J & J RESIDENTIAL CARE FACILITY II

Laboratory Demographics

  • CLIA Code: 26D2129775
  • Facility Name: J & J RESIDENTIAL CARE FACILITY II
  • Facility Address: 104 WESBECHER LANE
    MARBLE HILL, MO
    ZIP 63764
  • Facility Phone: 573 238-4602
  • Facility Type: Other - RCF II
  • Facility Type: Waiver
  • Lab Director: BARBARA J. GROBING
  • NPI Number: 1982201935
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2129775
LAB Type Other - RCF II
Facility Name J & J RESIDENTIAL CARE FACILITY II
Street 104 WESBECHER LANE
City MARBLE HILL
State MO
ZIP 63764
Phone 573 238-4602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Other - RCF II
Lab Director BARBARA J. GROBING

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