26D0962934 CLIA NUMBER - MERCY SOUTHEAST OF STODDARD COUNTY

Laboratory Demographics

  • CLIA Code: 26D0962934
  • Facility Name: MERCY SOUTHEAST OF STODDARD COUNTY
  • Facility Address: 1200 N ONE MILE ROAD
    DEXTER, MO
    ZIP 63841
  • Facility Phone: 573 624-5566
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: HEATHER M. OCONNOR
  • NPI Number: 1437116274
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0962934
LAB Type Ambulatory Surgery Center
Facility Name MERCY SOUTHEAST OF STODDARD COUNTY
Street 1200 N ONE MILE ROAD
City DEXTER
State MO
ZIP 63841
Phone 573 624-5566
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Ambulatory Surgery Center
Lab Director HEATHER M. OCONNOR

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