26D2102884 CLIA NUMBER - PLATTE CITY CBOC

Laboratory Demographics

CLIA Number: 26D2102884

Facility Name: PLATTE CITY CBOC

Facility Address:
2303 HIGGINS ROAD
PLATTE CITY, MO
ZIP 64079
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Facility Phone Number: 800 952-8387

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1538542188

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2102884
LAB Type	Community Clinic
Facility Name	PLATTE CITY CBOC
Street	2303 HIGGINS ROAD
City	PLATTE CITY
State	MO
ZIP	64079
Phone	800 952-8387
CertificateType	1
CertificateEffectiveDate	9/30/2015
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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