26D2056965 CLIA NUMBER - EMOLOGIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 26D2056965
  • Facility Name: EMOLOGIC CLINIC LLC
  • Facility Address: 500 W MAIN, SUITE 204
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 243-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHABANA INSAF
  • NPI Number: 1528400173
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 26D2056965
LAB Type Physician Office
Facility Name EMOLOGIC CLINIC LLC
Street 500 W MAIN, SUITE 204
City BRANSON
State MO
ZIP 65616
Phone 417 243-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director SHABANA INSAF

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