26D2300496 CLIA NUMBER - OZARK TRAILS YOUTH SERVICES

Laboratory Demographics

CLIA Code: 26D2300496
Facility Name: OZARK TRAILS YOUTH SERVICES
Facility Address: RR 1 BOX 169
WILLOW SPRINGS, MO
ZIP 65793
Facility Phone: 801 874-8673
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: RICHARD JONES
NPI Number: 1548895790
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	26D2300496
LAB Type	School/Student Health Service
Facility Name	OZARK TRAILS YOUTH SERVICES
Street	RR 1 BOX 169
City	WILLOW SPRINGS
State	MO
ZIP	65793
Phone	801 874-8673
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/12/2024
Certificate Expiration Date	3/11/2026
Facility Type	School/Student Health Service
Lab Director	RICHARD JONES

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