26D0704152 CLIA NUMBER - COXHEALTH CENTER BUFFALO

Laboratory Demographics

CLIA Number: 26D0704152

Facility Name: COXHEALTH CENTER BUFFALO

Facility Address:
119 N ASH
BUFFALO, MO
ZIP 65622
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Facility Phone Number: 417 269-2200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124054432

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D0704152
LAB Type	Physician Office
Facility Name	COXHEALTH CENTER BUFFALO
Street	119 N ASH
City	BUFFALO
State	MO
ZIP	65622
Phone	417 269-2200
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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