26D2195260 CLIA NUMBER - OZARKS HEALTHCARE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 26D2195260
  • Facility Name: OZARKS HEALTHCARE DERMATOLOGY
  • Facility Address: 1210 N KENTUCKY AVE
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 505-7114
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. LESLIE MARSHALL
  • NPI Number: 1376679423
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2195260
LAB Type Physician Office
Facility Name OZARKS HEALTHCARE DERMATOLOGY
Street 1210 N KENTUCKY AVE
City WEST PLAINS
State MO
ZIP 65775
Phone 417 505-7114
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director DR. LESLIE MARSHALL

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