26D2279112 CLIA NUMBER - CHAFFEE FAMILY CARE, LLC

Laboratory Demographics

  • CLIA Code: 26D2279112
  • Facility Name: CHAFFEE FAMILY CARE, LLC
  • Facility Address: 206 SOUTH MAIN ST
    CHAFFEE, MO
    ZIP 63740
  • Facility Phone: 573 475-7071
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MISTY D. WILHITE
  • NPI Number: 1669946869
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2279112
LAB Type Practitioner Other
Facility Name CHAFFEE FAMILY CARE, LLC
Street 206 SOUTH MAIN ST
City CHAFFEE
State MO
ZIP 63740
Phone 573 475-7071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Practitioner Other
Lab Director MISTY D. WILHITE

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