26D2246027 CLIA NUMBER - SYNERGY EXECUTIVE

Laboratory Demographics

  • CLIA Code: 26D2246027
  • Facility Name: SYNERGY EXECUTIVE
  • Facility Address: 2608 SMYRNA RD
    OZARK, MO
    ZIP 65721
  • Facility Phone: 417 551-9192
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: ANN M. KOETTING
  • NPI Number: 1639633290
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2246027
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name SYNERGY EXECUTIVE
Street 2608 SMYRNA RD
City OZARK
State MO
ZIP 65721
Phone 417 551-9192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director ANN M. KOETTING

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