26D0448019 CLIA NUMBER - PEDIATRIC ASSOCIATES OF SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 26D0448019
  • Facility Name: PEDIATRIC ASSOCIATES OF SPRINGFIELD
  • Facility Address: 1000 E PRIMROSE # 560
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 882-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN D. MCCAIG
  • NPI Number: 1285784330
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0448019
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF SPRINGFIELD
Street 1000 E PRIMROSE # 560
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 882-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director STEVEN D. MCCAIG

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