26D0446860 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE-ROLLA

Laboratory Demographics

  • CLIA Code: 26D0446860
  • Facility Name: MERCY CLINIC FAMILY MEDICINE-ROLLA
  • Facility Address: 1605 MARTIN SPRINGS DRIVE STE 210 230
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 458-6726
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE DANIELS
  • NPI Number: 1457363806
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0446860
LAB Type Physician Office
Facility Name MERCY CLINIC FAMILY MEDICINE-ROLLA
Street 1605 MARTIN SPRINGS DRIVE STE 210 230
City ROLLA
State MO
ZIP 65401
Phone 573 458-6726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director MICHELLE DANIELS

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