26D1005690 CLIA NUMBER - BRANSON CLINIC LLC

Laboratory Demographics

  • CLIA Code: 26D1005690
  • Facility Name: BRANSON CLINIC LLC
  • Facility Address: 110 BUSINESS PARK DRIVE, SUITE A
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 239-0125
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNN E. ALLISON
  • NPI Number: 1326576174
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1005690
LAB Type Physician Office
Facility Name BRANSON CLINIC LLC
Street 110 BUSINESS PARK DRIVE, SUITE A
City BRANSON
State MO
ZIP 65616
Phone 417 239-0125
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 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director LYNN E. ALLISON

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