26D2026367 CLIA NUMBER - CHAS PHYSICIAN SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 26D2026367
  • Facility Name: CHAS PHYSICIAN SERVICES, LLC
  • Facility Address: 1605 EAST BROADWAY, SUITE 300
    COLUMBIA, MO
    ZIP 65201
  • Facility Phone: 573 256-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES T. ELLIOTT
  • NPI Number: 1629301163
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2026367
LAB Type Physician Office
Facility Name CHAS PHYSICIAN SERVICES, LLC
Street 1605 EAST BROADWAY, SUITE 300
City COLUMBIA
State MO
ZIP 65201
Phone 573 256-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director JAMES T. ELLIOTT

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