26D0981246 CLIA NUMBER - NORTHEAST CORRECTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0981246
  • Facility Name: NORTHEAST CORRECTIONAL CENTER
  • Facility Address: 13698 PIKE 46 AIRPORT ROAD
    BOWLING GREEN, MO
    ZIP 63334
  • Facility Phone: 573 324-9975
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: PASCHA ALLEN
  • NPI Number: 1356491955
  • Taxonomy: 261QF0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0981246
LAB Type Prison
Facility Name NORTHEAST CORRECTIONAL CENTER
Street 13698 PIKE 46 AIRPORT ROAD
City BOWLING GREEN
State MO
ZIP 63334
Phone 573 324-9975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Prison
Lab Director PASCHA ALLEN

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This page was last updated on: 3/20/2025