26D2293622 CLIA NUMBER - ELEVATED HEALTHCARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 26D2293622
  • Facility Name: ELEVATED HEALTHCARE CLINIC LLC
  • Facility Address: 806 COLLINS
    AVA, MO
    ZIP 65608
  • Facility Phone: 417 543-4631
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: VANESSA K. LOFTIS
  • NPI Number: 1427725928
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2293622
LAB Type Rural Health Clinic
Facility Name ELEVATED HEALTHCARE CLINIC LLC
Street 806 COLLINS
City AVA
State MO
ZIP 65608
Phone 417 543-4631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Rural Health Clinic
Lab Director VANESSA K. LOFTIS

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