26D0445378 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE - EL DORADO SPRINGS

Laboratory Demographics

  • CLIA Code: 26D0445378
  • Facility Name: MERCY CLINIC FAMILY MEDICINE - EL DORADO SPRINGS
  • Facility Address: 309 E HOSPITAL RD
    EL DORADO SPRINGS, MO
    ZIP 64744
  • Facility Phone: 417 876-5851
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: GORDON REED WOUTERS
  • NPI Number: 1851427785
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0445378
LAB Type Rural Health Clinic
Facility Name MERCY CLINIC FAMILY MEDICINE - EL DORADO SPRINGS
Street 309 E HOSPITAL RD
City EL DORADO SPRINGS
State MO
ZIP 64744
Phone 417 876-5851
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Rural Health Clinic
Lab Director GORDON REED WOUTERS

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