26D2137013 CLIA NUMBER - HILLSIDE LIVING CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D2137013
  • Facility Name: HILLSIDE LIVING CENTER LLC
  • Facility Address: 10160 RESTORATION CIR RD
    MINERAL POINT, MO
    ZIP 63660
  • Facility Phone: 573 562-0303
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANNON L. MARTIN
  • NPI Number: 1659811990
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2137013
LAB Type Assisted Living Facility
Facility Name HILLSIDE LIVING CENTER LLC
Street 10160 RESTORATION CIR RD
City MINERAL POINT
State MO
ZIP 63660
Phone 573 562-0303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Assisted Living Facility
Lab Director SHANNON L. MARTIN

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