26D0917611 CLIA NUMBER - OZARKS HEALTHCARE - FAMILY MEDICINE WALK-IN CLINIC

Laboratory Demographics

  • CLIA Code: 26D0917611
  • Facility Name: OZARKS HEALTHCARE - FAMILY MEDICINE WALK-IN CLINIC
  • Facility Address: 181 KENTUCKY AVE
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 257-5972
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HOLLY GRAY
  • NPI Number: 1649306119
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0917611
LAB Type Rural Health Clinic
Facility Name OZARKS HEALTHCARE - FAMILY MEDICINE WALK-IN CLINIC
Street 181 KENTUCKY AVE
City WEST PLAINS
State MO
ZIP 65775
Phone 417 257-5972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Rural Health Clinic
Lab Director HOLLY GRAY

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