26D0942430 CLIA NUMBER - MERCY CLINIC SUMMERSVILLE

Laboratory Demographics

  • CLIA Code: 26D0942430
  • Facility Name: MERCY CLINIC SUMMERSVILLE
  • Facility Address: 149 ROGERS AVENUE
    SUMMERSVILLE, MO
    ZIP 65571
  • Facility Phone: 417 932-4119
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH MARINO
  • NPI Number: 1053444000
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0942430
LAB Type Physician Office
Facility Name MERCY CLINIC SUMMERSVILLE
Street 149 ROGERS AVENUE
City SUMMERSVILLE
State MO
ZIP 65571
Phone 417 932-4119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director JOSEPH MARINO

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