26D0855719 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE AND PEDIATRICS SCENIC

Laboratory Demographics

  • CLIA Code: 26D0855719
  • Facility Name: MERCY CLINIC FAMILY MEDICINE AND PEDIATRICS SCENIC
  • Facility Address: 2716 W REPUBLIC ROAD
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 881-8812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT A. ELLIS
  • NPI Number: 1245277631
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0855719
LAB Type Physician Office
Facility Name MERCY CLINIC FAMILY MEDICINE AND PEDIATRICS SCENIC
Street 2716 W REPUBLIC ROAD
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 881-8812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director SCOTT A. ELLIS

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