26D2324428 CLIA NUMBER - ABA HOSPICE CARE MO 1, LLC DBA TRINITY HOSPICE

Laboratory Demographics

  • CLIA Code: 26D2324428
  • Facility Name: ABA HOSPICE CARE MO 1, LLC DBA TRINITY HOSPICE
  • Facility Address: 1531 W 32ND ST, SUITE 208C
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 605-3449
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STACI JOHNSON
  • NPI Number: 1508671686
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2324428
LAB Type Hospice
Facility Name ABA HOSPICE CARE MO 1, LLC DBA TRINITY HOSPICE
Street 1531 W 32ND ST, SUITE 208C
City JOPLIN
State MO
ZIP 64804
Phone 417 605-3449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Hospice
Lab Director STACI JOHNSON

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