26D1094020 CLIA NUMBER - LAKE REGIONAL HEALTH SYSTEM - OSAGE BEACH CLINIC

Laboratory Demographics

  • CLIA Code: 26D1094020
  • Facility Name: LAKE REGIONAL HEALTH SYSTEM - OSAGE BEACH CLINIC
  • Facility Address: 1057 MEDICALPARK DRIVE
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 302-3100
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JOAN M. HANFF
  • NPI Number: 1245520691
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1094020
LAB Type Rural Health Clinic
Facility Name LAKE REGIONAL HEALTH SYSTEM - OSAGE BEACH CLINIC
Street 1057 MEDICALPARK DRIVE
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 302-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Rural Health Clinic
Lab Director JOAN M. HANFF

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