26D2093114 CLIA NUMBER - HEALTHY CHOICE

Laboratory Demographics

  • CLIA Code: 26D2093114
  • Facility Name: HEALTHY CHOICE
  • Facility Address: 111 EAST FIRST STREET
    MONTGOMERY CITY, MO
    ZIP 63361
  • Facility Phone: 573 564-3214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LONDA Y. SWOBODA
  • NPI Number: 1922485259
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2093114
LAB Type Physician Office
Facility Name HEALTHY CHOICE
Street 111 EAST FIRST STREET
City MONTGOMERY CITY
State MO
ZIP 63361
Phone 573 564-3214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director LONDA Y. SWOBODA

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