26D2146215 CLIA NUMBER - OSAGE EYE CLINIC, PC

Laboratory Demographics

  • CLIA Code: 26D2146215
  • Facility Name: OSAGE EYE CLINIC, PC
  • Facility Address: 54 HOSPITAL DRIVE, STE 101
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 348-8002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. LISCHWE
  • NPI Number: 1104157825
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D2146215
LAB Type Physician Office
Facility Name OSAGE EYE CLINIC, PC
Street 54 HOSPITAL DRIVE, STE 101
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 348-8002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director TIMOTHY D. LISCHWE

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