26D2298160 CLIA NUMBER - PRAIRIE VIEW SKILLED NURSING

Laboratory Demographics

  • CLIA Code: 26D2298160
  • Facility Name: PRAIRIE VIEW SKILLED NURSING
  • Facility Address: 606 W MISSOURI ST
    BLOOMFIELD, MO
    ZIP 63825
  • Facility Phone: 573 568-2137
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITTANY N. JOHNSON
  • NPI Number: 1477008779
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2298160
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRAIRIE VIEW SKILLED NURSING
Street 606 W MISSOURI ST
City BLOOMFIELD
State MO
ZIP 63825
Phone 573 568-2137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRITTANY N. JOHNSON

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