26D1048547 CLIA NUMBER - LAKE REGIONAL HEALTH SYSTEM - IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 26D1048547
  • Facility Name: LAKE REGIONAL HEALTH SYSTEM - IMAGING CENTER
  • Facility Address: 1075 NICHOLS ROAD
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 348-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNE B. REED
  • NPI Number: 1245283290
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1048547
LAB Type Physician Office
Facility Name LAKE REGIONAL HEALTH SYSTEM - IMAGING CENTER
Street 1075 NICHOLS ROAD
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 348-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director JOANNE B. REED

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