26D0968677 CLIA NUMBER - MANSFIELD CLINIC,THE

Laboratory Demographics

  • CLIA Code: 26D0968677
  • Facility Name: MANSFIELD CLINIC,THE
  • Facility Address: 304 W COMMERCIAL
    MANSFIELD, MO
    ZIP 65704
  • Facility Phone: 417 924-3066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH H. DUGAN
  • NPI Number: 1285687509
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0968677
LAB Type Physician Office
Facility Name MANSFIELD CLINIC,THE
Street 304 W COMMERCIAL
City MANSFIELD
State MO
ZIP 65704
Phone 417 924-3066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director KENNETH H. DUGAN

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