26D2003913 CLIA NUMBER - JOPLIN PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 26D2003913
  • Facility Name: JOPLIN PRIMARY CARE INC
  • Facility Address: 3130 WISCONSIN SUITE 5,6,7
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 206-9300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SEAN C. PFEFFER
  • NPI Number: 1174555148
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2003913
LAB Type Physician Office
Facility Name JOPLIN PRIMARY CARE INC
Street 3130 WISCONSIN SUITE 5,6,7
City JOPLIN
State MO
ZIP 64804
Phone 417 206-9300
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SEAN C. PFEFFER

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