26D1000700 CLIA NUMBER - COMMUNITY HEALTHCARE ASSOC INC

Laboratory Demographics

  • CLIA Code: 26D1000700
  • Facility Name: COMMUNITY HEALTHCARE ASSOC INC
  • Facility Address: 735 WEST MAIN
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-8875
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PAULA LAWSON
  • NPI Number: 1134695703
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1000700
LAB Type Rural Health Clinic
Facility Name COMMUNITY HEALTHCARE ASSOC INC
Street 735 WEST MAIN
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-8875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Rural Health Clinic
Lab Director PAULA LAWSON

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