26D0864835 CLIA NUMBER - EAST MISSOURI ACTION AGENCY-FAMILY PLANNING

Laboratory Demographics

CLIA Number: 26D0864835

Facility Name: EAST MISSOURI ACTION AGENCY-FAMILY PLANNING

Facility Address:
403 PARKWAY DRIVE
PARK HILLS, MO
ZIP 63601
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Facility Phone Number: 573 454-2201

Facility Type: Other - PUBLIC NON FOR PROFIT TIT

Certificate Type: Microscopy

NPI Number: 1972756633

Taxonomy: 261QF0050X - Clinic/Center
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

CLIA Record

Field Name	Field Value
CLIA Number	26D0864835
LAB Type	Other - PUBLIC NON FOR PROFIT TIT
Facility Name	EAST MISSOURI ACTION AGENCY-FAMILY PLANNING
Street	403 PARKWAY DRIVE
City	PARK HILLS
State	MO
ZIP	63601
Phone	573 454-2201
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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