26D2005359 CLIA NUMBER - SEDALIA VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 26D2005359
  • Facility Name: SEDALIA VA OUTPATIENT CLINIC
  • Facility Address: 981 WINCHESTER DRIVE
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 202 000-0000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: JARED H. COBERLY
  • NPI Number: 1720301682
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2005359
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SEDALIA VA OUTPATIENT CLINIC
Street 981 WINCHESTER DRIVE
City SEDALIA
State MO
ZIP 65301
Phone 202 000-0000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/25/2010
Certificate Expiration Date 5/22/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JARED H. COBERLY

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