26D0886296 CLIA NUMBER - PREFERRED FAMILY HEALTHCARE

Laboratory Demographics

CLIA Number: 26D0886296

Facility Name: PREFERRED FAMILY HEALTHCARE

Facility Address:
900 EAST LAHARPE ST
KIRKSVILLE, MO
ZIP 63501
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Facility Phone Number: 660 665-6135

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1407988686

Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

CLIA Record

Field Name	Field Value
CLIA Number	26D0886296
LAB Type	Other
Facility Name	PREFERRED FAMILY HEALTHCARE
Street	900 EAST LAHARPE ST
City	KIRKSVILLE
State	MO
ZIP	63501
Phone	660 665-6135
CertificateType	4
CertificateEffectiveDate	5/14/2024
CertificateExpirationDate	5/13/2026
FacilityType	Waiver

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