26D2103211 CLIA NUMBER - TRI-LAKES FAMILY CARE

Laboratory Demographics

  • CLIA Code: 26D2103211
  • Facility Name: TRI-LAKES FAMILY CARE
  • Facility Address: 1065 STATE HWY 248
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 332-3639
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLYN G. CLARK
  • NPI Number: 1134500739
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2103211
LAB Type Physician Office
Facility Name TRI-LAKES FAMILY CARE
Street 1065 STATE HWY 248
City BRANSON
State MO
ZIP 65616
Phone 417 332-3639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Physician Office
Lab Director CAROLYN G. CLARK

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