26D0706817 CLIA NUMBER - LA PLATA FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 26D0706817
  • Facility Name: LA PLATA FAMILY PRACTICE CLINIC
  • Facility Address: 201 S GEX ST
    LA PLATA, MO
    ZIP 63549
  • Facility Phone: 660 332-4312
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. SYLVARA
  • NPI Number: 1023154168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D0706817
LAB Type Physician Office
Facility Name LA PLATA FAMILY PRACTICE CLINIC
Street 201 S GEX ST
City LA PLATA
State MO
ZIP 63549
Phone 660 332-4312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director JOHN T. SYLVARA

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This page was last updated on: 9/29/2025