26D0867138 CLIA NUMBER - MERCER COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 26D0867138

Facility Name: MERCER COUNTY HEALTH DEPARTMENT

Facility Address:
305 W MAIN
PRINCETON, MO
ZIP 64673
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Facility Phone Number: 660 748-3630

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1053430561

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	26D0867138
LAB Type	Other
Facility Name	MERCER COUNTY HEALTH DEPARTMENT
Street	305 W MAIN
City	PRINCETON
State	MO
ZIP	64673
Phone	660 748-3630
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024