26D2262954 CLIA NUMBER - GENESIS HEALTHCARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 26D2262954
  • Facility Name: GENESIS HEALTHCARE CENTER, LLC
  • Facility Address: 25466 NORTH HIGHWAY 5
    LEBANON, MO
    ZIP 65536
  • Facility Phone: 417 588-1100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA R. WILLIAMS
  • NPI Number: 1316488075
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2262954
LAB Type Assisted Living Facility
Facility Name GENESIS HEALTHCARE CENTER, LLC
Street 25466 NORTH HIGHWAY 5
City LEBANON
State MO
ZIP 65536
Phone 417 588-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Assisted Living Facility
Lab Director DEBRA R. WILLIAMS

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