26D2046474 CLIA NUMBER - Twin Rivers Primary Care

Laboratory Demographics

CLIA Number:
26D2046474

Facility Name:
Twin Rivers Primary Care

Facility Address:
304 Teaco Road, Suite B
Kennett, MO
ZIP 63857

Facility Phone Number:
(573) 888-8649

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

Map - Location of Facility

CLIA Record

No. Field Name Field Value
1 CLIA Number 26D2046474
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Twin Rivers Primary Care
4 Street 304 Teaco Road, Suite B
5 City Kennett
6 State MO
7 ZIP 63857
8 Phone 5738888649

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This page was last updated on: 8/23/2014