26D2151651 CLIA NUMBER - EUSTASIS PSYCHIATRIC ADDICTION

Laboratory Demographics

  • CLIA Code: 26D2151651
  • Facility Name: EUSTASIS PSYCHIATRIC ADDICTION
  • Facility Address: 3600 S NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 322-6622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIN ALOK
  • NPI Number: 1386257780
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 26D2151651
LAB Type Physician Office
Facility Name EUSTASIS PSYCHIATRIC ADDICTION
Street 3600 S NATIONAL AVE
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 322-6622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JAIN ALOK

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