26D0934224 CLIA NUMBER - MERCY FAMILY CLINIC STRAFFORD

Laboratory Demographics

CLIA Number: 26D0934224

Facility Name: MERCY FAMILY CLINIC STRAFFORD

Facility Address:
363 EAST OLD ROUTE 66
STRAFFORD, MO
ZIP 65757
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Facility Phone Number: 417 736-9175

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386841021

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	26D0934224
LAB Type	Physician Office
Facility Name	MERCY FAMILY CLINIC STRAFFORD
Street	363 EAST OLD ROUTE 66
City	STRAFFORD
State	MO
ZIP	65757
Phone	417 736-9175
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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