26D0445822 CLIA NUMBER - LAKE REGIONAL CLINIC-CAMDENTON

Laboratory Demographics

  • CLIA Code: 26D0445822
  • Facility Name: LAKE REGIONAL CLINIC-CAMDENTON
  • Facility Address: 1930 N BUSINESS HWY 5 UNIT 1 A
    CAMDENTON, MO
    ZIP 65020
  • Facility Phone: 573 346-5624
  • Facility Type: Rural Health Clinic
  • Facility Type: Accreditation
  • Lab Director: MICHAEL H. LEDBETTER
  • NPI Number: 1437440856
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0445822
LAB Type Rural Health Clinic
Facility Name LAKE REGIONAL CLINIC-CAMDENTON
Street 1930 N BUSINESS HWY 5 UNIT 1 A
City CAMDENTON
State MO
ZIP 65020
Phone 573 346-5624
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Rural Health Clinic
Lab Director MICHAEL H. LEDBETTER

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