26D2168225 CLIA NUMBER - PARKSIDE MANOR LLC

Laboratory Demographics

  • CLIA Code: 26D2168225
  • Facility Name: PARKSIDE MANOR LLC
  • Facility Address: 300 S ST CHARLES
    BOWLING GREEN, MO
    ZIP 63334
  • Facility Phone: 573 324-9918
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAREN HARROWER
  • NPI Number: 1457917247
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2168225
LAB Type Assisted Living Facility
Facility Name PARKSIDE MANOR LLC
Street 300 S ST CHARLES
City BOWLING GREEN
State MO
ZIP 63334
Phone 573 324-9918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Assisted Living Facility
Lab Director KAREN HARROWER

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