26D0855525 CLIA NUMBER - PCMH

Laboratory Demographics

  • CLIA Code: 26D0855525
  • Facility Name: PCMH
  • Facility Address: 1015 WEST ADAMS STREET
    BOWLING GREEN, MO
    ZIP 63334
  • Facility Phone: (573) 324-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CASEY JENNINGS
  • NPI Number: 1124030424
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0855525
LAB Type Physician Office
Facility Name PCMH
Street 1015 WEST ADAMS STREET
City BOWLING GREEN
State MO
ZIP 63334
Phone 5733245300
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 CASEY JENNINGS

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This page was last updated on: 6/29/2026