26D1009670 CLIA NUMBER - SPRINGFIELD NEPHROLOGY ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 26D1009670
  • Facility Name: SPRINGFIELD NEPHROLOGY ASSOCIATES INC
  • Facility Address: 1911 S NATIONAL SUITE 301
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 886-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ETHAN T. HOERSCHGEN
  • NPI Number: 1942324488
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1009670
LAB Type Physician Office
Facility Name SPRINGFIELD NEPHROLOGY ASSOCIATES INC
Street 1911 S NATIONAL SUITE 301
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 886-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director ETHAN T. HOERSCHGEN

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