26D0447363 CLIA NUMBER - MT VERNON CLINIC

Laboratory Demographics

  • CLIA Code: 26D0447363
  • Facility Name: MT VERNON CLINIC
  • Facility Address: 1011 S E STREET BUS LOOP I-44
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 466-7191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL WILLIAMS DO
  • NPI Number: 1649332156
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0447363
LAB Type Physician Office
Facility Name MT VERNON CLINIC
Street 1011 S E STREET BUS LOOP I-44
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 466-7191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director CHERYL WILLIAMS DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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