CLIA lab

CLIA 26D0970221: Countryside Home, LLC

Lebanon, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D0970221 belongs to Countryside Home, LLC in Lebanon, MO.

Certificate of Waiver, effective February 7, 2026, expires February 6, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 7, 2026
Certificate expiration
February 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 7, 2000
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D0970221
Lab name
Countryside Home, LLC
Address
24499 Park Drive, Lebanon, MO 65536
Phone
(417) 532-7418
Fax
(417) 532-9359

Annual test volume the lab reported

Waived tests
2,555

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lebanon, MO

Related

Questions

What is the CLIA number for Countryside Home, LLC in Lebanon?

26D0970221, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Countryside Home, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D0970221 expire?

The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.

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