26D2123372 CLIA NUMBER - ELDORADO SPRINGS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 26D2123372

Facility Name: ELDORADO SPRINGS MEDICAL CENTER

Facility Address:
322 E HOSPITAL ROAD
ELDORADO SPRINGS, MO
ZIP 64744
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Facility Phone Number: 417 876-2118

Facility Type: Rural Health Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1639344146

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	26D2123372
LAB Type	Rural Health Clinic
Facility Name	ELDORADO SPRINGS MEDICAL CENTER
Street	322 E HOSPITAL ROAD
City	ELDORADO SPRINGS
State	MO
ZIP	64744
Phone	417 876-2118
CertificateType	2
CertificateEffectiveDate	1/17/2024
CertificateExpirationDate	1/16/2026
FacilityType	Compliance

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