26D0445217 CLIA NUMBER - LARRY J DICKINSON DO

Laboratory Demographics

  • CLIA Code: 26D0445217
  • Facility Name: LARRY J DICKINSON DO
  • Facility Address: 100 E JOHNSON
    GALLATIN, MO
    ZIP 64640
  • Facility Phone: 660 663-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY J. DICKINSON
  • NPI Number: 1972583094
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0445217
LAB Type Physician Office
Facility Name LARRY J DICKINSON DO
Street 100 E JOHNSON
City GALLATIN
State MO
ZIP 64640
Phone 660 663-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LARRY J. DICKINSON

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