26D2183874 CLIA NUMBER - BRAD R BURKS DMD PC

Laboratory Demographics

  • CLIA Code: 26D2183874
  • Facility Name: BRAD R BURKS DMD PC
  • Facility Address: 1355 - D EAST BRADFORD PARKWAY
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 882-4600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRAD R. BURKS
  • NPI Number: 1295743318
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 26D2183874
LAB Type Practitioner Other
Facility Name BRAD R BURKS DMD PC
Street 1355 - D EAST BRADFORD PARKWAY
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 882-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Practitioner Other
Lab Director BRAD R. BURKS

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This page was last updated on: 6/4/2025