26D2147074 CLIA NUMBER - JACOBS HOME CARE

Laboratory Demographics

  • CLIA Code: 26D2147074
  • Facility Name: JACOBS HOME CARE
  • Facility Address: 1300 W POPLAR STREET #106
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: 417 844-8635
  • Facility Type: Other - HOME CARE
  • Facility Type: Waiver
  • Lab Director: CAMELIA JACOB
  • NPI Number: 1881199388
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 26D2147074
LAB Type Other - HOME CARE
Facility Name JACOBS HOME CARE
Street 1300 W POPLAR STREET #106
City SPRINGFIELD
State MO
ZIP 65803
Phone 417 844-8635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Other - HOME CARE
Lab Director CAMELIA JACOB

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