26D0447892 CLIA NUMBER - WOMAN'S CLINIC, THE

Laboratory Demographics

  • CLIA Code: 26D0447892
  • Facility Name: WOMAN'S CLINIC, THE
  • Facility Address: 1135 E LAKEWOOD ST # 112
    SPRINGFIELD, MO
    ZIP 65810
  • Facility Phone: 417 887-5500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD P. KRATZ
  • NPI Number: 1194825281
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 26D0447892
LAB Type Physician Office
Facility Name WOMAN'S CLINIC, THE
Street 1135 E LAKEWOOD ST # 112
City SPRINGFIELD
State MO
ZIP 65810
Phone 417 887-5500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DONALD P. KRATZ

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