26D2217209 CLIA NUMBER - VSL SPRINGFIELD ASSISTED LIVING LLC

Laboratory Demographics

CLIA Number: 26D2217209

Facility Name: VSL SPRINGFIELD ASSISTED LIVING LLC

Facility Address:
1401 WEST ELFINDALE STREET
SPRINGFIELD, MO
ZIP 65807
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Facility Phone Number: 417 831-3828

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1821662263

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D2217209
LAB Type	Assisted Living Facility
Facility Name	VSL SPRINGFIELD ASSISTED LIVING LLC
Street	1401 WEST ELFINDALE STREET
City	SPRINGFIELD
State	MO
ZIP	65807
Phone	417 831-3828
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024