26D0873989 CLIA NUMBER - COXHEALTH CENTER MT VERNON

Laboratory Demographics

  • CLIA Code: 26D0873989
  • Facility Name: COXHEALTH CENTER MT VERNON
  • Facility Address: 10763 HWY 39, STE 200
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 466-2875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE DYBEDOCK MD
  • NPI Number: 1780778449
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0873989
LAB Type Physician Office
Facility Name COXHEALTH CENTER MT VERNON
Street 10763 HWY 39, STE 200
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 466-2875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director LAWRENCE DYBEDOCK MD

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