26D2085906 CLIA NUMBER - JASPER COUNTY CLINIC CARTHAGE CAMPUS

Laboratory Demographics

CLIA Code: 26D2085906
Facility Name: JASPER COUNTY CLINIC CARTHAGE CAMPUS
Facility Address: 327 EAST AIRPORT DRIVE
CARTHAGE, MO
ZIP 64836
Facility Phone: 417 237-0604
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: JACKIE S. BEENE
NPI Number: 1942324041
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	26D2085906
LAB Type	Physician Office
Facility Name	JASPER COUNTY CLINIC CARTHAGE CAMPUS
Street	327 EAST AIRPORT DRIVE
City	CARTHAGE
State	MO
ZIP	64836
Phone	417 237-0604
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/24/2024
Certificate Expiration Date	10/23/2026
Facility Type	Physician Office
Lab Director	JACKIE S. BEENE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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