26D2111332 CLIA NUMBER - FAITH IMMEDIATE CARE AND OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 26D2111332
  • Facility Name: FAITH IMMEDIATE CARE AND OCCUPATIONAL MEDICINE
  • Facility Address: 1308 N GLENSTONE AVE
    SPRINGFIELD, MO
    ZIP 65802
  • Facility Phone: 417 832-1117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENDA KAY CASE
  • NPI Number: 1487001517
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2111332
LAB Type Physician Office
Facility Name FAITH IMMEDIATE CARE AND OCCUPATIONAL MEDICINE
Street 1308 N GLENSTONE AVE
City SPRINGFIELD
State MO
ZIP 65802
Phone 417 832-1117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director GLENDA KAY CASE

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