26D2247254 CLIA NUMBER - MAKO LABORATORY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 26D2247254
  • Facility Name: MAKO LABORATORY SERVICES, LLC
  • Facility Address: 729 SOUTH NEOSHO BLVD
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 439-2203
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRAD W. BRADFORD
  • NPI Number: 1154030765
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 26D2247254
LAB Type Independent
Facility Name MAKO LABORATORY SERVICES, LLC
Street 729 SOUTH NEOSHO BLVD
City NEOSHO
State MO
ZIP 64850
Phone 417 439-2203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Independent
Lab Director BRAD W. BRADFORD

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