26D0447304 CLIA NUMBER - MARSHFIELD FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 26D0447304
  • Facility Name: MARSHFIELD FAMILY CLINIC
  • Facility Address: 487 POMME DE TERRE DRIVE
    MARSHFIELD, MO
    ZIP 65706
  • Facility Phone: 417 468-7875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS E. ROBINSON
  • NPI Number: 1407395999
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0447304
LAB Type Physician Office
Facility Name MARSHFIELD FAMILY CLINIC
Street 487 POMME DE TERRE DRIVE
City MARSHFIELD
State MO
ZIP 65706
Phone 417 468-7875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director DENNIS E. ROBINSON

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This page was last updated on: 6/4/2025