26D0446304 CLIA NUMBER - COMO CUBS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0446304
  • Facility Name: COMO CUBS PEDIATRICS
  • Facility Address: 201 WEST BROADWAY SUITE 2G
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 443-0937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN WILSON
  • NPI Number: 1447629829
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0446304
LAB Type Physician Office
Facility Name COMO CUBS PEDIATRICS
Street 201 WEST BROADWAY SUITE 2G
City COLUMBIA
State MO
ZIP 65203
Phone 573 443-0937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JOHN WILSON

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