26D0652125 CLIA NUMBER - LEWIS COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 26D0652125

Facility Name: LEWIS COUNTY HEALTH DEPARTMENT

Facility Address:
101 STATE HWY A
MONTICELLO, MO
ZIP 63457
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Facility Phone Number: 573 767-5312

Facility Type: Other - ANTIGEN COVID-19 TESTING

Certificate Type: Microscopy

NPI Number: 1861958449

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D0652125
LAB Type	Other - ANTIGEN COVID-19 TESTING
Facility Name	LEWIS COUNTY HEALTH DEPARTMENT
Street	101 STATE HWY A
City	MONTICELLO
State	MO
ZIP	63457
Phone	573 767-5312
CertificateType	3
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024