26D2243424 CLIA NUMBER - CMH WILLARD MEDICAL CENTER

Laboratory Demographics

CLIA Number: 26D2243424

Facility Name: CMH WILLARD MEDICAL CENTER

Facility Address:
502 S MILLER RD
WILLARD, MO
ZIP 65781
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Facility Phone Number: 417 761-6655

Facility Type: Rural Health Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1568127397

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2243424
LAB Type	Rural Health Clinic
Facility Name	CMH WILLARD MEDICAL CENTER
Street	502 S MILLER RD
City	WILLARD
State	MO
ZIP	65781
Phone	417 761-6655
CertificateType	2
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024