26D0046391 CLIA NUMBER - MERCY HOSPITAL - LEBANON

Laboratory Demographics

CLIA Number: 26D0046391

Facility Name: MERCY HOSPITAL - LEBANON

Facility Address:
ATTENTION KIM PLAKE 100 HOSPITAL DRIVE
LEBANON, MO
ZIP 65536
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Facility Phone Number: 417 532-2136

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1053368761

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	26D0046391
LAB Type	Hospital
Facility Name	MERCY HOSPITAL - LEBANON
Street	ATTENTION KIM PLAKE 100 HOSPITAL DRIVE
City	LEBANON
State	MO
ZIP	65536
Phone	417 532-2136
CertificateType	1
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024