26D1002544 CLIA NUMBER - OZARK OBGYN, LLC

Laboratory Demographics

  • CLIA Code: 26D1002544
  • Facility Name: OZARK OBGYN, LLC
  • Facility Address: 2600-1 KANELL BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 785-0313
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD R. JONES
  • NPI Number: 1194779827
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1002544
LAB Type Physician Office
Facility Name OZARK OBGYN, LLC
Street 2600-1 KANELL BLVD
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 785-0313
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DONALD R. JONES

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