26D0446877 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINCE BIRCH TREE

Laboratory Demographics

  • CLIA Code: 26D0446877
  • Facility Name: MERCY CLINIC FAMILY MEDICINCE BIRCH TREE
  • Facility Address: 9138 O'BANION STREET
    BIRCH TREE, MO
    ZIP 65438
  • Facility Phone: 417 934-2251
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LAURA CLARK
  • NPI Number: 1003946732
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0446877
LAB Type Rural Health Clinic
Facility Name MERCY CLINIC FAMILY MEDICINCE BIRCH TREE
Street 9138 O'BANION STREET
City BIRCH TREE
State MO
ZIP 65438
Phone 417 934-2251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Rural Health Clinic
Lab Director LAURA CLARK

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