26D0960446 CLIA NUMBER - MOUNT VERNON RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 26D0960446
  • Facility Name: MOUNT VERNON RESIDENTIAL CARE
  • Facility Address: 1425B S LANDRUM
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 466-3549
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KELLY HERT
  • NPI Number: 1609957885
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D0960446
LAB Type Other
Facility Name MOUNT VERNON RESIDENTIAL CARE
Street 1425B S LANDRUM
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 466-3549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Other
Lab Director KELLY HERT

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