26D1026663 CLIA NUMBER - OCH WELLPOINT FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D1026663
  • Facility Name: OCH WELLPOINT FAMILY MEDICAL CLINIC
  • Facility Address: 543 W HUBBLE DR
    MARSHFIELD, MO
    ZIP 65706
  • Facility Phone: (417) 859-4878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTA KOIZNAN-BOYD
  • NPI Number: 1225338155
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1026663
LAB Type Physician Office
Facility Name OCH WELLPOINT FAMILY MEDICAL CLINIC
Street 543 W HUBBLE DR
City MARSHFIELD
State MO
ZIP 65706
Phone 4178594878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2026
Certificate Expiration Date 6/9/2028
Facility Type Physician Office
Lab Director KRISTA KOIZNAN-BOYD

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This page was last updated on: 5/18/2026