17D1086264 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE MT CARMEL PLACE

Laboratory Demographics

  • CLIA Code: 17D1086264
  • Facility Name: MERCY CLINIC FAMILY MEDICINE MT CARMEL PLACE
  • Facility Address: 1015 MT CARMEL PLACE
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 232-5581
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY A. CRANSTON
  • NPI Number: 1720119456
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D1086264
LAB Type Physician Office
Facility Name MERCY CLINIC FAMILY MEDICINE MT CARMEL PLACE
Street 1015 MT CARMEL PLACE
City PITTSBURG
State KS
ZIP 66762
Phone 620 232-5581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director HOLLY A. CRANSTON

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