26D2195792 CLIA NUMBER - WEBWOOD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D2195792
  • Facility Name: WEBWOOD ASSISTED LIVING
  • Facility Address: 1640 WALDO HATLER MEMORIAL DR
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 451-2997
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ETHAN C. WILSON
  • NPI Number: 1700609658
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2195792
LAB Type Assisted Living Facility
Facility Name WEBWOOD ASSISTED LIVING
Street 1640 WALDO HATLER MEMORIAL DR
City NEOSHO
State MO
ZIP 64850
Phone 417 451-2997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Assisted Living Facility
Lab Director ETHAN C. WILSON

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