26D2049406 CLIA NUMBER - BETHANY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 26D2049406
  • Facility Name: BETHANY HEALTH SERVICES
  • Facility Address: 903 NORTH 25TH
    BETHANY, MO
    ZIP 64424
  • Facility Phone: 660 425-7333
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHAHZAD SHAFIQUE
  • NPI Number: 1033478557
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2049406
LAB Type Community Clinic
Facility Name BETHANY HEALTH SERVICES
Street 903 NORTH 25TH
City BETHANY
State MO
ZIP 64424
Phone 660 425-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Community Clinic
Lab Director SHAHZAD SHAFIQUE

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