26D2308376 CLIA NUMBER - COMMAND PRIME, LLC AND COMMAND HEALTH

Laboratory Demographics

  • CLIA Code: 26D2308376
  • Facility Name: COMMAND PRIME, LLC AND COMMAND HEALTH
  • Facility Address: 2740 N MAYFAIR AVE
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: 417 799-8902
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKE A. VAN KIRK
  • NPI Number: 1164289054
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2308376
LAB Type Physician Office
Facility Name COMMAND PRIME, LLC AND COMMAND HEALTH
Street 2740 N MAYFAIR AVE
City SPRINGFIELD
State MO
ZIP 65803
Phone 417 799-8902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director LUKE A. VAN KIRK

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This page was last updated on: 6/4/2025