26D1105101 CLIA NUMBER - CHRIS WEBER, MD, LLC

Laboratory Demographics

CLIA Number: 26D1105101

Facility Name: CHRIS WEBER, MD, LLC

Facility Address:
574 ST HWY 248, STE 3
BRANSON, MO
ZIP 65616
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Facility Phone Number: 417 337-5500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154571974

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	26D1105101
LAB Type	Physician Office
Facility Name	CHRIS WEBER, MD, LLC
Street	574 ST HWY 248, STE 3
City	BRANSON
State	MO
ZIP	65616
Phone	417 337-5500
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024