26D0442414 CLIA NUMBER - CAMPBELL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D0442414
  • Facility Name: CAMPBELL MEDICAL CLINIC
  • Facility Address: 413 WEST GRAND
    CAMPBELL, MO
    ZIP 63933
  • Facility Phone: 573 246-3220
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES G. SHERIDAN
  • NPI Number: 1164620332
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 26D0442414
LAB Type Physician Office
Facility Name CAMPBELL MEDICAL CLINIC
Street 413 WEST GRAND
City CAMPBELL
State MO
ZIP 63933
Phone 573 246-3220
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director JAMES G. SHERIDAN

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