26D1056765 CLIA NUMBER - SPRINGFIELD OB/GYN LLC

Laboratory Demographics

  • CLIA Code: 26D1056765
  • Facility Name: SPRINGFIELD OB/GYN LLC
  • Facility Address: 909 E MONTCLAIR ST
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 882-4466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW H. TING
  • NPI Number: 1700804697
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 26D1056765
LAB Type Physician Office
Facility Name SPRINGFIELD OB/GYN LLC
Street 909 E MONTCLAIR ST
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 882-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director MATTHEW H. TING

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