26D0437915 CLIA NUMBER - MERCY CLINIC UROLOGY

Laboratory Demographics

  • CLIA Code: 26D0437915
  • Facility Name: MERCY CLINIC UROLOGY
  • Facility Address: 901 PATIENTS FIRST DR SUITE 3400
    WASHINGTON, MO
    ZIP 63090
  • Facility Phone: 636 239-5155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES UPSHURE NOTTINGHAM
  • NPI Number: 1669502274
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 26D0437915
LAB Type Physician Office
Facility Name MERCY CLINIC UROLOGY
Street 901 PATIENTS FIRST DR SUITE 3400
City WASHINGTON
State MO
ZIP 63090
Phone 636 239-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director CHARLES UPSHURE NOTTINGHAM

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