26D2269587 CLIA NUMBER - LIFENET 2-4

Laboratory Demographics

  • CLIA Code: 26D2269587
  • Facility Name: LIFENET 2-4
  • Facility Address: 1101 A W LIBERTY ST
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 720 456-8861
  • Facility Type: Other - HELICOPTER
  • Facility Type: Waiver
  • Lab Director: S JASON NOEL
  • NPI Number: 1962949537
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 26D2269587
LAB Type Other - HELICOPTER
Facility Name LIFENET 2-4
Street 1101 A W LIBERTY ST
City FARMINGTON
State MO
ZIP 63640
Phone 720 456-8861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Other - HELICOPTER
Lab Director S JASON NOEL

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