26D2043724 CLIA NUMBER - CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 26D2043724
  • Facility Name: CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC
  • Facility Address: 1417 BINGHAM ROAD
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-8018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN G. LENZ
  • NPI Number: 1164790465
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2043724
LAB Type Physician Office
Facility Name CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC
Street 1417 BINGHAM ROAD
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-8018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director KATHLEEN G. LENZ

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This page was last updated on: 6/4/2025