26D2288625 CLIA NUMBER - ACG MISSOURI CENTRAL, LLC DBA ACG HOSPICE

Laboratory Demographics

CLIA Number: 26D2288625

Facility Name: ACG MISSOURI CENTRAL, LLC DBA ACG HOSPICE

Facility Address:
2511 BROADWAY BLUFFS DRIVE, STE 202
COLUMBIA, MO
ZIP 65201
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Facility Phone Number: 800 932-2738

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1922792621

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	26D2288625
LAB Type	Hospice
Facility Name	ACG MISSOURI CENTRAL, LLC DBA ACG HOSPICE
Street	2511 BROADWAY BLUFFS DRIVE, STE 202
City	COLUMBIA
State	MO
ZIP	65201
Phone	800 932-2738
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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