26D0991821 CLIA NUMBER - FRISCO PRIMARY CARE AND OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 26D0991821
  • Facility Name: FRISCO PRIMARY CARE AND OCCUPATIONAL MEDICINE
  • Facility Address: 3253 E CHESTNUT EXP SUITE 201
    SPRINGFIELD, MO
    ZIP 65802
  • Facility Phone: 417 885-2203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIM LAWRENCE
  • NPI Number: 1528265188
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D0991821
LAB Type Physician Office
Facility Name FRISCO PRIMARY CARE AND OCCUPATIONAL MEDICINE
Street 3253 E CHESTNUT EXP SUITE 201
City SPRINGFIELD
State MO
ZIP 65802
Phone 417 885-2203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director JIM LAWRENCE

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