26D2304419 CLIA NUMBER - RIVERS EDGE CARE HOME LLC

Laboratory Demographics

  • CLIA Code: 26D2304419
  • Facility Name: RIVERS EDGE CARE HOME LLC
  • Facility Address: 802 KENNEDY DRIVE
    WARSAW, MO
    ZIP 65355
  • Facility Phone: 660 530-8414
  • Facility Type: Other - RCF 1
  • Facility Type: Waiver
  • Lab Director: ASHLEY L. DUNHAM
  • NPI Number: 1588408082
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2304419
LAB Type Other - RCF 1
Facility Name RIVERS EDGE CARE HOME LLC
Street 802 KENNEDY DRIVE
City WARSAW
State MO
ZIP 65355
Phone 660 530-8414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Other - RCF 1
Lab Director ASHLEY L. DUNHAM

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