26D0443087 CLIA NUMBER - OAK GROVE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D0443087
  • Facility Name: OAK GROVE MEDICAL CLINIC
  • Facility Address: 302 SE SALEM
    OAK GROVE, MO
    ZIP 64075
  • Facility Phone: 816 690-6566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAGGIE T. NGAR
  • NPI Number: 1811293582
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0443087
LAB Type Physician Office
Facility Name OAK GROVE MEDICAL CLINIC
Street 302 SE SALEM
City OAK GROVE
State MO
ZIP 64075
Phone 816 690-6566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director MAGGIE T. NGAR

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This page was last updated on: 6/4/2025