26D2199486 CLIA NUMBER - DOCTOR FREEMAN, LLC DBA THE FREEMAN CLINIC

Laboratory Demographics

  • CLIA Code: 26D2199486
  • Facility Name: DOCTOR FREEMAN, LLC DBA THE FREEMAN CLINIC
  • Facility Address: 23 DOCTORS PARK
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 332-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI L. FREEMAN
  • NPI Number: 1265926562
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2199486
LAB Type Physician Office
Facility Name DOCTOR FREEMAN, LLC DBA THE FREEMAN CLINIC
Street 23 DOCTORS PARK
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 332-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director JODI L. FREEMAN

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