26D0871783 CLIA NUMBER - BOONVILLE CORRECTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0871783
  • Facility Name: BOONVILLE CORRECTIONAL CENTER
  • Facility Address: 1216 EAST MORGAN STREET
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-6521
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: CLARE DUDENHOEFFER
  • NPI Number: 1154090710
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0871783
LAB Type Prison
Facility Name BOONVILLE CORRECTIONAL CENTER
Street 1216 EAST MORGAN STREET
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-6521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Prison
Lab Director CLARE DUDENHOEFFER

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