26D2214117 CLIA NUMBER - 417 HOUSECALLS LLC

Laboratory Demographics

  • CLIA Code: 26D2214117
  • Facility Name: 417 HOUSECALLS LLC
  • Facility Address: 1335 E RUPUBLIC RD STE D
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 363-3900
  • Facility Type: Other - MOBILE HOUSE CALLS
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. HUBBARD
  • NPI Number: 1164016036
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 26D2214117
LAB Type Other - MOBILE HOUSE CALLS
Facility Name 417 HOUSECALLS LLC
Street 1335 E RUPUBLIC RD STE D
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 363-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other - MOBILE HOUSE CALLS
Lab Director TIMOTHY A. HUBBARD

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