26D0961475 CLIA NUMBER - MERCY CLINIC OB/GYN-LEBANON AND FMOB LEBANON

Laboratory Demographics

  • CLIA Code: 26D0961475
  • Facility Name: MERCY CLINIC OB/GYN-LEBANON AND FMOB LEBANON
  • Facility Address: 120 HOSPITAL DR SUITE 300
    LEBANON, MO
    ZIP 65536
  • Facility Phone: 417 533-6750
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BEATRICE ABRAHAM
  • NPI Number: 1073642765
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0961475
LAB Type Physician Office
Facility Name MERCY CLINIC OB/GYN-LEBANON AND FMOB LEBANON
Street 120 HOSPITAL DR SUITE 300
City LEBANON
State MO
ZIP 65536
Phone 417 533-6750
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director BEATRICE ABRAHAM

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