26D2194463 CLIA NUMBER - COMMUNITY HOME HEALTH AND RESTORATIVE CARE

Laboratory Demographics

  • CLIA Code: 26D2194463
  • Facility Name: COMMUNITY HOME HEALTH AND RESTORATIVE CARE
  • Facility Address: 100 EAST MAIN STREET
    FAIRFAX, MO
    ZIP 64446
  • Facility Phone: 660 717-2114
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHELLY L. BENTLEY
  • NPI Number: 1811518939
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2194463
LAB Type Home Health Agency
Facility Name COMMUNITY HOME HEALTH AND RESTORATIVE CARE
Street 100 EAST MAIN STREET
City FAIRFAX
State MO
ZIP 64446
Phone 660 717-2114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Home Health Agency
Lab Director SHELLY L. BENTLEY

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This page was last updated on: 6/4/2025