26D1058480 CLIA NUMBER - OCH WEBSTER COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 26D1058480
  • Facility Name: OCH WEBSTER COUNTY CLINIC
  • Facility Address: 101 S MAIN ST
    ROGERSVILLE, MO
    ZIP 65742
  • Facility Phone: 417 753-9404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTA KOINZAN-BOYD
  • NPI Number: 1942335203
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1058480
LAB Type Physician Office
Facility Name OCH WEBSTER COUNTY CLINIC
Street 101 S MAIN ST
City ROGERSVILLE
State MO
ZIP 65742
Phone 417 753-9404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director KRISTA KOINZAN-BOYD

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