26D0705327 CLIA NUMBER - PERSHING MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 26D0705327

Facility Name: PERSHING MEMORIAL HOSPITAL

Facility Address:
130 E LOCKLING AVE
BROOKFIELD, MO
ZIP 64628
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Facility Phone Number: 660 258-1166

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1417991159

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	26D0705327
LAB Type	Hospital
Facility Name	PERSHING MEMORIAL HOSPITAL
Street	130 E LOCKLING AVE
City	BROOKFIELD
State	MO
ZIP	64628
Phone	660 258-1166
CertificateType	2
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Compliance

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