26D2179950 CLIA NUMBER - EQUILIBRIUM RANCH

Laboratory Demographics

  • CLIA Code: 26D2179950
  • Facility Name: EQUILIBRIUM RANCH
  • Facility Address: 81 PILKENTON LANE #705
    CUBA, MO
    ZIP 65453
  • Facility Phone: 573 885-6443
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARVIN SHELTON
  • NPI Number: 1285398024
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2179950
LAB Type Assisted Living Facility
Facility Name EQUILIBRIUM RANCH
Street 81 PILKENTON LANE #705
City CUBA
State MO
ZIP 65453
Phone 573 885-6443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Assisted Living Facility
Lab Director MARVIN SHELTON

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