26D1041858 CLIA NUMBER - FAMILY PREFERENCE HEALTH CARE CLINIC

Laboratory Demographics

CLIA Number: 26D1041858

Facility Name: FAMILY PREFERENCE HEALTH CARE CLINIC

Facility Address:
201 WEST MAIN
MATTHEWS, MO
ZIP 63867
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Facility Phone Number: 573 471-1514

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1144214974

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D1041858
LAB Type	Rural Health Clinic
Facility Name	FAMILY PREFERENCE HEALTH CARE CLINIC
Street	201 WEST MAIN
City	MATTHEWS
State	MO
ZIP	63867
Phone	573 471-1514
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024