26D0665227 CLIA NUMBER - MERCY CLINIC SALEM

Laboratory Demographics

  • CLIA Code: 26D0665227
  • Facility Name: MERCY CLINIC SALEM
  • Facility Address: 404 WEST ROLLA ROAD
    SALEM, MO
    ZIP 65560
  • Facility Phone: 573 729-7311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREG V. MAYNARD DO
  • NPI Number: 1497886451
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0665227
LAB Type Physician Office
Facility Name MERCY CLINIC SALEM
Street 404 WEST ROLLA ROAD
City SALEM
State MO
ZIP 65560
Phone 573 729-7311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director GREG V. MAYNARD DO

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