26D0864280 CLIA NUMBER - ODESSA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D0864280
  • Facility Name: ODESSA MEDICAL CLINIC
  • Facility Address: 408 B NORTH FOURTH ST
    ODESSA, MO
    ZIP 64076
  • Facility Phone: 816 224-4002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY L. ZINK
  • NPI Number: 1003872185
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0864280
LAB Type Physician Office
Facility Name ODESSA MEDICAL CLINIC
Street 408 B NORTH FOURTH ST
City ODESSA
State MO
ZIP 64076
Phone 816 224-4002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director BRADLEY L. ZINK

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