26D2050792 CLIA NUMBER - ALTEC HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 26D2050792
  • Facility Name: ALTEC HEALTH CENTER
  • Facility Address: 5101 EAST HIGHWAY 36
    ST JOSEPH, MO
    ZIP 64507
  • Facility Phone: 802 857-0484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAYTHE DAVIS
  • NPI Number: 1992338982
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2050792
LAB Type Physician Office
Facility Name ALTEC HEALTH CENTER
Street 5101 EAST HIGHWAY 36
City ST JOSEPH
State MO
ZIP 64507
Phone 802 857-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director FAYTHE DAVIS

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