26D1077615 CLIA NUMBER - BARON CARDIOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 26D1077615
  • Facility Name: BARON CARDIOLOGY GROUP
  • Facility Address: 1242 E INDEPENDENCE, STE 200
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 883-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA CLOVER
  • NPI Number: 1164603973
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1077615
LAB Type Physician Office
Facility Name BARON CARDIOLOGY GROUP
Street 1242 E INDEPENDENCE, STE 200
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 883-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director LISA CLOVER

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This page was last updated on: 3/20/2025