Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
26D2056111
|
|
Clinical laboratory number
|
|
Lab Name
|
LAKE REGIONAL INTERNAL MEDICINE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
573-302-3960
|
|
Laboratory telephone number
|
|
Fax
|
573-348-8217
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
54 HOSPITAL DRIVE, SUITE 204
|
|
Primary location adress line
|
|
City
|
OSAGE BEACH
|
|
Primary location city name
|
|
State
|
MO
|
|
Primary location state name
|
|
Zip
|
65065
|
|
Primary location postal code
|