26D0446956 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE AND URGENT CARE LEBANON

Laboratory Demographics

  • CLIA Code: 26D0446956
  • Facility Name: MERCY CLINIC FAMILY MEDICINE AND URGENT CARE LEBANON
  • Facility Address: 120 HOSPITAL DR SUITE 100
    LEBANON, MO
    ZIP 65536
  • Facility Phone: 417 533-6704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP V. MITCHELL
  • NPI Number: 1447389127
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0446956
LAB Type Physician Office
Facility Name MERCY CLINIC FAMILY MEDICINE AND URGENT CARE LEBANON
Street 120 HOSPITAL DR SUITE 100
City LEBANON
State MO
ZIP 65536
Phone 417 533-6704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director PHILIP V. MITCHELL

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