26D2181716 CLIA NUMBER - DONIPHAN FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 26D2181716
  • Facility Name: DONIPHAN FAMILY CLINIC
  • Facility Address: 109 LEROUX STREET
    DONIPHAN, MO
    ZIP 63935
  • Facility Phone: 573 996-2136
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JULLI MORRIS
  • NPI Number: 1801088554
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2181716
LAB Type Federally Qualified Health Center
Facility Name DONIPHAN FAMILY CLINIC
Street 109 LEROUX STREET
City DONIPHAN
State MO
ZIP 63935
Phone 573 996-2136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Federally Qualified Health Center
Lab Director JULLI MORRIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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