26D2190460 CLIA NUMBER - OZARK CENTER

Laboratory Demographics

  • CLIA Code: 26D2190460
  • Facility Name: OZARK CENTER
  • Facility Address: 3230 S WISCONSIN STREET, STE A
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 347-7600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY SHANE BRADLEY
  • NPI Number: 1104368315
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2190460
LAB Type Practitioner Other
Facility Name OZARK CENTER
Street 3230 S WISCONSIN STREET, STE A
City JOPLIN
State MO
ZIP 64804
Phone 417 347-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Practitioner Other
Lab Director JEFFREY SHANE BRADLEY

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