26D2295123 CLIA NUMBER - KING CITY FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 26D2295123
  • Facility Name: KING CITY FAMILY HEALTH
  • Facility Address: 200 E VERMONT
    KING CITY, MO
    ZIP 64463
  • Facility Phone: 660 552-4054
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JACKIE MILLER
  • NPI Number: 1497951339
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 26D2295123
LAB Type Rural Health Clinic
Facility Name KING CITY FAMILY HEALTH
Street 200 E VERMONT
City KING CITY
State MO
ZIP 64463
Phone 660 552-4054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Rural Health Clinic
Lab Director JACKIE MILLER

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