26D2033722 CLIA NUMBER - SCOTT COUNTY MISSOURI JAIL

Laboratory Demographics

  • CLIA Code: 26D2033722
  • Facility Name: SCOTT COUNTY MISSOURI JAIL
  • Facility Address: 131 S NEW MADRID STREET
    BENTON, MO
    ZIP 63736
  • Facility Phone: 573 453-3255
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: NANETTE L. GOOD
  • NPI Number: 1366514523
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 26D2033722
LAB Type Other - COUNTY JAIL
Facility Name SCOTT COUNTY MISSOURI JAIL
Street 131 S NEW MADRID STREET
City BENTON
State MO
ZIP 63736
Phone 573 453-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - COUNTY JAIL
Lab Director NANETTE L. GOOD

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