26D1024324 CLIA NUMBER - OCH SPARTA CLINIC

Laboratory Demographics

  • CLIA Code: 26D1024324
  • Facility Name: OCH SPARTA CLINIC
  • Facility Address: 155 VILLAGE DR
    SPARTA, MO
    ZIP 65753
  • Facility Phone: 417 634-4203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANIECE R. BRIDGES
  • NPI Number: 1811391717
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1024324
LAB Type Physician Office
Facility Name OCH SPARTA CLINIC
Street 155 VILLAGE DR
City SPARTA
State MO
ZIP 65753
Phone 417 634-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director JANIECE R. BRIDGES

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