26D2113639 CLIA NUMBER - COXHEALTH PEDIATRIC PLACE

Laboratory Demographics

  • CLIA Code: 26D2113639
  • Facility Name: COXHEALTH PEDIATRIC PLACE
  • Facility Address: 3850 S NATIONAL AVE SUITE 400
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 269-7290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUYET VO
  • NPI Number: 1831643428
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2113639
LAB Type Physician Office
Facility Name COXHEALTH PEDIATRIC PLACE
Street 3850 S NATIONAL AVE SUITE 400
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 269-7290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director TUYET VO

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