26D1032027 CLIA NUMBER - OZARKS HEALTHCARE - FAMILY CARE

Laboratory Demographics

  • CLIA Code: 26D1032027
  • Facility Name: OZARKS HEALTHCARE - FAMILY CARE
  • Facility Address: 1307 PORTER WAGONER BLVD
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 255-8645
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY GRAY
  • NPI Number: 1285801696
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1032027
LAB Type Physician Office
Facility Name OZARKS HEALTHCARE - FAMILY CARE
Street 1307 PORTER WAGONER BLVD
City WEST PLAINS
State MO
ZIP 65775
Phone 417 255-8645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director HOLLY GRAY

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