26D0873364 CLIA NUMBER - MEDICAL ONE CLINIC

Laboratory Demographics

  • CLIA Code: 26D0873364
  • Facility Name: MEDICAL ONE CLINIC
  • Facility Address: 29 NW 1ST LANE
    LAMAR, MO
    ZIP 64759
  • Facility Phone: 417 269-3099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRETT E. BOICE
  • NPI Number: 1275730160
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0873364
LAB Type Physician Office
Facility Name MEDICAL ONE CLINIC
Street 29 NW 1ST LANE
City LAMAR
State MO
ZIP 64759
Phone 417 269-3099
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director BRETT E. BOICE

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