26D2063889 CLIA NUMBER - LAKELAND BEHAVIORAL HEALTH SYSTEM

Laboratory Demographics

CLIA Number: 26D2063889

Facility Name: LAKELAND BEHAVIORAL HEALTH SYSTEM

Facility Address:
440 S MARKET
SPRINGFIELD, MO
ZIP 65806
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Facility Phone Number: 417 851-8766

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1386271054

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name Field Value
CLIA Number 26D2063889
LAB Type Hospital
Facility Name LAKELAND BEHAVIORAL HEALTH SYSTEM
Street 440 S MARKET
City SPRINGFIELD
State MO
ZIP 65806
Phone 417 851-8766
CertificateType 4
CertificateEffectiveDate 8/9/2023
CertificateExpirationDate 8/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024