26D0664158 CLIA NUMBER - CARROLL COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 26D0664158

Facility Name: CARROLL COUNTY HEALTH DEPARTMENT

Facility Address:
5 NORTH ELY
CARROLLTON, MO
ZIP 64633
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Facility Phone Number: 660 542-3247

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1205038783

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	26D0664158
LAB Type	Other
Facility Name	CARROLL COUNTY HEALTH DEPARTMENT
Street	5 NORTH ELY
City	CARROLLTON
State	MO
ZIP	64633
Phone	660 542-3247
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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