26D2154373 CLIA NUMBER - CENTRIC AMBULATORY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 26D2154373
  • Facility Name: CENTRIC AMBULATORY SURGERY CENTER, LLC
  • Facility Address: 2301 SILVA LN
    MOBERLY, MO
    ZIP 65270
  • Facility Phone: 660 616-0022
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANJEEV D. RAVIPUDI
  • NPI Number: 1487158796
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2154373
LAB Type Ambulatory Surgery Center
Facility Name CENTRIC AMBULATORY SURGERY CENTER, LLC
Street 2301 SILVA LN
City MOBERLY
State MO
ZIP 65270
Phone 660 616-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Ambulatory Surgery Center
Lab Director SANJEEV D. RAVIPUDI

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