26D0445366 CLIA NUMBER - GOLDEN VALLEY MEDICAL - CLINTON

Laboratory Demographics

  • CLIA Code: 26D0445366
  • Facility Name: GOLDEN VALLEY MEDICAL - CLINTON
  • Facility Address: 1602 NORTH 2ND STREET
    CLINTON, MO
    ZIP 64735
  • Facility Phone: 660 890-8414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDAN BAGLEY
  • NPI Number: 1306814306
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0445366
LAB Type Physician Office
Facility Name GOLDEN VALLEY MEDICAL - CLINTON
Street 1602 NORTH 2ND STREET
City CLINTON
State MO
ZIP 64735
Phone 660 890-8414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director BRENDAN BAGLEY

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