26D2113804 CLIA NUMBER - ADVANCED PRACTICE ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 26D2113804

Facility Name: ADVANCED PRACTICE ASSOCIATES, LLC

Facility Address:
1901 E 32ND STREET SUITE 20
JOPLIN, MO
ZIP 64804
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Facility Phone Number: 417 781-2046

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1790108025

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2113804
LAB Type	Physician Office
Facility Name	ADVANCED PRACTICE ASSOCIATES, LLC
Street	1901 E 32ND STREET SUITE 20
City	JOPLIN
State	MO
ZIP	64804
Phone	417 781-2046
CertificateType	3
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	PPMP

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