26D0718120 CLIA NUMBER - OZARK COUNTY HEALTH CENTER

Laboratory Demographics

CLIA Number: 26D0718120

Facility Name: OZARK COUNTY HEALTH CENTER

Facility Address:
304 WEST THIRD ST
GAINESVILLE, MO
ZIP 65655
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Facility Phone Number: 417 679-3334

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1396874475

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	26D0718120
LAB Type	Other
Facility Name	OZARK COUNTY HEALTH CENTER
Street	304 WEST THIRD ST
City	GAINESVILLE
State	MO
ZIP	65655
Phone	417 679-3334
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