26D0715118 CLIA NUMBER - QMG-KAHOKA

Laboratory Demographics

  • CLIA Code: 26D0715118
  • Facility Name: QMG-KAHOKA
  • Facility Address: 133 E MAIN
    KAHOKA, MO
    ZIP 63445
  • Facility Phone: 660 727-3377
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NEVILLE Q. CRENSHAW
  • NPI Number: 1205402195
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0715118
LAB Type Rural Health Clinic
Facility Name QMG-KAHOKA
Street 133 E MAIN
City KAHOKA
State MO
ZIP 63445
Phone 660 727-3377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Rural Health Clinic
Lab Director NEVILLE Q. CRENSHAW

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