26D0447076 CLIA NUMBER - OZARKS HEALTHCARE - ALTON

Laboratory Demographics

  • CLIA Code: 26D0447076
  • Facility Name: OZARKS HEALTHCARE - ALTON
  • Facility Address: 100 MEDICAL DRIVE
    ALTON, MO
    ZIP 65606
  • Facility Phone: 417 264-7136
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MRS. HOLLY GRAY
  • NPI Number: 1588791842
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0447076
LAB Type Rural Health Clinic
Facility Name OZARKS HEALTHCARE - ALTON
Street 100 MEDICAL DRIVE
City ALTON
State MO
ZIP 65606
Phone 417 264-7136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Rural Health Clinic
Lab Director MRS. HOLLY GRAY

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