26D2122447 CLIA NUMBER - CRAMER FAMILY CLINIC

Laboratory Demographics

CLIA Number: 26D2122447

Facility Name: CRAMER FAMILY CLINIC

Facility Address:
1309 B WEST FAIRGROUNDS RD
MARSHALL, MO
ZIP 65340
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Facility Phone Number: 660 815-4184

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811448764

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2122447
LAB Type	Physician Office
Facility Name	CRAMER FAMILY CLINIC
Street	1309 B WEST FAIRGROUNDS RD
City	MARSHALL
State	MO
ZIP	65340
Phone	660 815-4184
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

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