26D2268011 CLIA NUMBER - BRE MEDICAL PROVIDERS LLC DBA BISMARCK MEDICAL PROVIDERS

Laboratory Demographics

  • CLIA Code: 26D2268011
  • Facility Name: BRE MEDICAL PROVIDERS LLC DBA BISMARCK MEDICAL PROVIDERS
  • Facility Address: 405 CENTER ST SUITE 1
    BISMARCK, MO
    ZIP 63624
  • Facility Phone: 573 200-8030
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KIMBERLY I. WEISS
  • NPI Number: 1366161945
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2268011
LAB Type Rural Health Clinic
Facility Name BRE MEDICAL PROVIDERS LLC DBA BISMARCK MEDICAL PROVIDERS
Street 405 CENTER ST SUITE 1
City BISMARCK
State MO
ZIP 63624
Phone 573 200-8030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Rural Health Clinic
Lab Director KIMBERLY I. WEISS

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