26D0904412 CLIA NUMBER - CEDAR COUNTY MEMORIAL HOSP MED MALL

Laboratory Demographics

  • CLIA Code: 26D0904412
  • Facility Name: CEDAR COUNTY MEMORIAL HOSP MED MALL
  • Facility Address: 1317 SOUTH HIGHWAY 32
    ELDORADO SPRINGS, MO
    ZIP 64744
  • Facility Phone: 417 876-3333
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RUSSELL KEMM
  • NPI Number: 1881608685
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0904412
LAB Type Rural Health Clinic
Facility Name CEDAR COUNTY MEMORIAL HOSP MED MALL
Street 1317 SOUTH HIGHWAY 32
City ELDORADO SPRINGS
State MO
ZIP 64744
Phone 417 876-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Rural Health Clinic
Lab Director RUSSELL KEMM

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