26D2119732 CLIA NUMBER - OZARK PHYSICIAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 26D2119732
  • Facility Name: OZARK PHYSICIAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL SERVICES
  • Facility Address: 2725 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 686-5510
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ASHLEY TINSLEY
  • NPI Number: 1942272836
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2119732
LAB Type Home Health Agency
Facility Name OZARK PHYSICIAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL SERVICES
Street 2725 N WESTWOOD BLVD
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 686-5510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Home Health Agency
Lab Director ASHLEY TINSLEY

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