26D0987290 CLIA NUMBER - LAKE OZARK FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0987290
  • Facility Name: LAKE OZARK FIRE PROTECTION DISTRICT
  • Facility Address: 1767 BAGNELL DAM BLVD
    LAKE OZARK, MO
    ZIP 65049
  • Facility Phone: 573 365-3880
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK K. SHEN
  • NPI Number: 1083740245
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0987290
LAB Type Ambulance
Facility Name LAKE OZARK FIRE PROTECTION DISTRICT
Street 1767 BAGNELL DAM BLVD
City LAKE OZARK
State MO
ZIP 65049
Phone 573 365-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Ambulance
Lab Director MARK K. SHEN

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