26D0903120 CLIA NUMBER - MERCY CLINIC PRIMARY CARE REPUBLIC

Laboratory Demographics

  • CLIA Code: 26D0903120
  • Facility Name: MERCY CLINIC PRIMARY CARE REPUBLIC
  • Facility Address: 332 S MAIN
    REPUBLIC, MO
    ZIP 65738
  • Facility Phone: 417 233-3128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADFORD GARNER
  • NPI Number: 1962534727
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0903120
LAB Type Physician Office
Facility Name MERCY CLINIC PRIMARY CARE REPUBLIC
Street 332 S MAIN
City REPUBLIC
State MO
ZIP 65738
Phone 417 233-3128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director BRADFORD GARNER

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