26D2170457 CLIA NUMBER - LHCG CXLVIII, LLC DBA CENTRAL MISSOURI HOSPICE

Laboratory Demographics

  • CLIA Code: 26D2170457
  • Facility Name: LHCG CXLVIII, LLC DBA CENTRAL MISSOURI HOSPICE
  • Facility Address: 1001 SOUTHWEST BLVD, SUITE A
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 681-3750
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KIM BLACK
  • NPI Number: 1558924829
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2170457
LAB Type Home Health Agency
Facility Name LHCG CXLVIII, LLC DBA CENTRAL MISSOURI HOSPICE
Street 1001 SOUTHWEST BLVD, SUITE A
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 681-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Home Health Agency
Lab Director KIM BLACK

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