26D0955137 CLIA NUMBER - MERCY CLINIC PEDIATRICS ROLLA

Laboratory Demographics

  • CLIA Code: 26D0955137
  • Facility Name: MERCY CLINIC PEDIATRICS ROLLA
  • Facility Address: 1605 MARTIN SPRINGS DRIVE SUITE 250
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 458-6363
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SEAN A. MCENANEY
  • NPI Number: 1922137645
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0955137
LAB Type Rural Health Clinic
Facility Name MERCY CLINIC PEDIATRICS ROLLA
Street 1605 MARTIN SPRINGS DRIVE SUITE 250
City ROLLA
State MO
ZIP 65401
Phone 573 458-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Rural Health Clinic
Lab Director SEAN A. MCENANEY

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