26D0447496 CLIA NUMBER - OZARKS HEALTHCARE AT HOME

Laboratory Demographics

  • CLIA Code: 26D0447496
  • Facility Name: OZARKS HEALTHCARE AT HOME
  • Facility Address: 812 N KENTUCKY AVE
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 256-3133
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HOLLY GRAY
  • NPI Number: 1740286004
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D0447496
LAB Type Home Health Agency
Facility Name OZARKS HEALTHCARE AT HOME
Street 812 N KENTUCKY AVE
City WEST PLAINS
State MO
ZIP 65775
Phone 417 256-3133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Home Health Agency
Lab Director HOLLY GRAY

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