26D0447076 CLIA NUMBER - OZARKS HEALTHCARE - ALTON

Laboratory Demographics

CLIA Number: 26D0447076

Facility Name: OZARKS HEALTHCARE - ALTON

Facility Address:
100 MEDICAL DRIVE
ALTON, MO
ZIP 65606
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Facility Phone Number: 417 264-7136

Facility Type: Rural Health Clinic

Certificate Type: Accreditation

NPI Number: 1588791842

Taxonomy: 261QR1300X - Clinic/Center

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
CertificateType	1
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024