26D0447528 CLIA NUMBER - OZARKS HEALTHCARE THAYER/ MAMMOTH SPRINGS

Laboratory Demographics

  • CLIA Code: 26D0447528
  • Facility Name: OZARKS HEALTHCARE THAYER/ MAMMOTH SPRINGS
  • Facility Address: 1375 NETTLETON AVENUE
    THAYER, MO
    ZIP 65791
  • Facility Phone: 417 264-7136
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MRS. HOLLY K. GRAY
  • NPI Number: 1730215195
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0447528
LAB Type Rural Health Clinic
Facility Name OZARKS HEALTHCARE THAYER/ MAMMOTH SPRINGS
Street 1375 NETTLETON AVENUE
City THAYER
State MO
ZIP 65791
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 K. GRAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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