26D1058785 CLIA NUMBER - GOLDEN CITY CLINIC

Laboratory Demographics

  • CLIA Code: 26D1058785
  • Facility Name: GOLDEN CITY CLINIC
  • Facility Address: 403 MAIN ST
    GOLDEN CITY, MO
    ZIP 64748
  • Facility Phone: 417 537-4311
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: BRETT E. BOICE
  • NPI Number: 1790972909
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1058785
LAB Type Rural Health Clinic
Facility Name GOLDEN CITY CLINIC
Street 403 MAIN ST
City GOLDEN CITY
State MO
ZIP 64748
Phone 417 537-4311
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Rural Health Clinic
Lab Director BRETT E. BOICE

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