26D2171365 CLIA NUMBER - PROMISE CARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D2171365
  • Facility Name: PROMISE CARE CENTER LLC
  • Facility Address: 1111 CARE AVE
    NIXA, MO
    ZIP 65714
  • Facility Phone: 573 795-5012
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA J. WILLIAMS
  • NPI Number: 1831742048
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2171365
LAB Type Assisted Living Facility
Facility Name PROMISE CARE CENTER LLC
Street 1111 CARE AVE
City NIXA
State MO
ZIP 65714
Phone 573 795-5012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Assisted Living Facility
Lab Director JOSHUA J. WILLIAMS

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