26D2142443 CLIA NUMBER - 417 HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 26D2142443
  • Facility Name: 417 HEALTH & WELLNESS
  • Facility Address: 2132 S STEWARD AVE
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 368-3489
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JUSTIN JOINER
  • NPI Number: 1881193670
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2142443
LAB Type Community Clinic
Facility Name 417 HEALTH & WELLNESS
Street 2132 S STEWARD AVE
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 368-3489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Community Clinic
Lab Director JUSTIN JOINER

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