26D0916330 CLIA NUMBER - FORDLAND CLINIC

Laboratory Demographics

  • CLIA Code: 26D0916330
  • Facility Name: FORDLAND CLINIC
  • Facility Address: 1059 BARTON DR
    FORDLAND, MO
    ZIP 65652
  • Facility Phone: 417 767-2273
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANGELA CLAY
  • NPI Number: 1639421365
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0916330
LAB Type Federally Qualified Health Center
Facility Name FORDLAND CLINIC
Street 1059 BARTON DR
City FORDLAND
State MO
ZIP 65652
Phone 417 767-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Federally Qualified Health Center
Lab Director ANGELA CLAY

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