26D2210150 CLIA NUMBER - EVANGEL UNIVERSITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 26D2210150
  • Facility Name: EVANGEL UNIVERSITY HEALTH SERVICES
  • Facility Address: 1111 N GLENSTONE AVENUE CANTRELL STUDENT UNION, 106A
    SPRINGFIELD, MO
    ZIP 65802
  • Facility Phone: 417 865-2815
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SUSAN J. BRYAN
  • NPI Number: 1518310101
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2210150
LAB Type School/Student Health Service
Facility Name EVANGEL UNIVERSITY HEALTH SERVICES
Street 1111 N GLENSTONE AVENUE CANTRELL STUDENT UNION, 106A
City SPRINGFIELD
State MO
ZIP 65802
Phone 417 865-2815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type School/Student Health Service
Lab Director SUSAN J. BRYAN

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