26D2066413 CLIA NUMBER - THE CHILD ADVOCACY CENTER, INC

Laboratory Demographics

CLIA Number: 26D2066413

Facility Name: THE CHILD ADVOCACY CENTER, INC

Facility Address:
1033 E WALNUT STREET
SPRINGFIELD, MO
ZIP 65806
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Facility Phone Number: 417 831-2327

Facility Type: Other - CHILD ADVOCACY CENTER

Certificate Type: Waiver

NPI Number: 1114123049

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name Field Value
CLIA Number 26D2066413
LAB Type Other - CHILD ADVOCACY CENTER
Facility Name THE CHILD ADVOCACY CENTER, INC
Street 1033 E WALNUT STREET
City SPRINGFIELD
State MO
ZIP 65806
Phone 417 831-2327
CertificateType 4
CertificateEffectiveDate 9/26/2023
CertificateExpirationDate 9/25/2025
FacilityType Waiver

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