26D2247029 CLIA NUMBER - PARKLAND HEALTH CENTER CONVENIENT CARE

Laboratory Demographics

CLIA Number: 26D2247029

Facility Name: PARKLAND HEALTH CENTER CONVENIENT CARE

Facility Address:
534 MAPLE VALLEY DR
FARMINGTON, MO
ZIP 63640
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Facility Phone Number: 573 756-6751

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427114990

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2247029
LAB Type	Physician Office
Facility Name	PARKLAND HEALTH CENTER CONVENIENT CARE
Street	534 MAPLE VALLEY DR
City	FARMINGTON
State	MO
ZIP	63640
Phone	573 756-6751
CertificateType	4
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	Waiver

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