26D2178092 CLIA NUMBER - PARKLAND HEALTH CENTER MEDICAL CLINIC NORTH

Laboratory Demographics

CLIA Number: 26D2178092

Facility Name: PARKLAND HEALTH CENTER MEDICAL CLINIC NORTH

Facility Address:
7245 RAIDER ROAD
BONNE TERRE, MO
ZIP 63628
Get Directions

Facility Phone Number: 573 756-6751

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376271205

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2178092
LAB Type	Physician Office
Facility Name	PARKLAND HEALTH CENTER MEDICAL CLINIC NORTH
Street	7245 RAIDER ROAD
City	BONNE TERRE
State	MO
ZIP	63628
Phone	573 756-6751
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024