26D2209974 CLIA NUMBER - ST CROIX HOSPICE

Laboratory Demographics

  • CLIA Code: 26D2209974
  • Facility Name: ST CROIX HOSPICE
  • Facility Address: 471 S SPRINGFIELD AVE
    BOLIVAR, MO
    ZIP 65613
  • Facility Phone: 636 926-3722
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RACHEL CHOATE
  • NPI Number: 1174699003
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2209974
LAB Type Hospice
Facility Name ST CROIX HOSPICE
Street 471 S SPRINGFIELD AVE
City BOLIVAR
State MO
ZIP 65613
Phone 636 926-3722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Hospice
Lab Director RACHEL CHOATE

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