26D0987314 CLIA NUMBER - JOHN J PERSHING VAMC

Laboratory Demographics

  • CLIA Code: 26D0987314
  • Facility Name: JOHN J PERSHING VAMC
  • Facility Address: 1500 N WESTWOOD BLVD BLDG 1 2ND FL
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 778-4641
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: PATRICK ADEGBOYEGA
  • NPI Number: 1285019844
  • Taxonomy: 104100000X - Social Worker

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0987314
LAB Type Hospital
Facility Name JOHN J PERSHING VAMC
Street 1500 N WESTWOOD BLVD BLDG 1 2ND FL
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 778-4641
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/4/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director PATRICK ADEGBOYEGA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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