26D0945389 CLIA NUMBER - COX HEALTH CENTER WILLARD

Laboratory Demographics

  • CLIA Code: 26D0945389
  • Facility Name: COX HEALTH CENTER WILLARD
  • Facility Address: 302 E JACKSON, B-207
    WILLARD, MO
    ZIP 65781
  • Facility Phone: 417 788-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORBIN VANDEWEGE
  • NPI Number: 1891275350
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D0945389
LAB Type Physician Office
Facility Name COX HEALTH CENTER WILLARD
Street 302 E JACKSON, B-207
City WILLARD
State MO
ZIP 65781
Phone 417 788-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director CORBIN VANDEWEGE

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