26D0688083 CLIA NUMBER - MERCY CLINIC PEDIATRIC WASHINGTON

Laboratory Demographics

  • CLIA Code: 26D0688083
  • Facility Name: MERCY CLINIC PEDIATRIC WASHINGTON
  • Facility Address: 851 E FIFTH ST, SUITE 300
    WASHINGTON, MO
    ZIP 63090
  • Facility Phone: 636 390-8555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS DURAND
  • NPI Number: 1154327286
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0688083
LAB Type Physician Office
Facility Name MERCY CLINIC PEDIATRIC WASHINGTON
Street 851 E FIFTH ST, SUITE 300
City WASHINGTON
State MO
ZIP 63090
Phone 636 390-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DOUGLAS DURAND

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