26D0442456 CLIA NUMBER - CARTER COUNTY HEALTH CENTER

Laboratory Demographics

CLIA Number: 26D0442456

Facility Name: CARTER COUNTY HEALTH CENTER

Facility Address:
1611 HEALTH CENTER ROAD
VAN BUREN, MO
ZIP 63965
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Facility Phone Number: 573 323-4413

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1700972106

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	26D0442456
LAB Type	Other
Facility Name	CARTER COUNTY HEALTH CENTER
Street	1611 HEALTH CENTER ROAD
City	VAN BUREN
State	MO
ZIP	63965
Phone	573 323-4413
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024