26D0942954 CLIA NUMBER - OZARKS HEALTHCARE - CARDIAC REHAB

Laboratory Demographics

  • CLIA Code: 26D0942954
  • Facility Name: OZARKS HEALTHCARE - CARDIAC REHAB
  • Facility Address: 1115 ALASKA AVE
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 256-1761
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HOLLY GRAY
  • NPI Number: 1639477946
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D0942954
LAB Type Community Clinic
Facility Name OZARKS HEALTHCARE - CARDIAC REHAB
Street 1115 ALASKA AVE
City WEST PLAINS
State MO
ZIP 65775
Phone 417 256-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Community Clinic
Lab Director HOLLY GRAY

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