26D2227818 CLIA NUMBER - THREE RIVERS HOSPICE CENTRAL

Laboratory Demographics

  • CLIA Code: 26D2227818
  • Facility Name: THREE RIVERS HOSPICE CENTRAL
  • Facility Address: 3236 EMERALD LN, STE 400
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 816 431-2333
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DONNA M. BEAN
  • NPI Number: 1508882804
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2227818
LAB Type Hospice
Facility Name THREE RIVERS HOSPICE CENTRAL
Street 3236 EMERALD LN, STE 400
City JEFFERSON CITY
State MO
ZIP 65109
Phone 816 431-2333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Hospice
Lab Director DONNA M. BEAN

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