26D0987173 CLIA NUMBER - PALMYRA CLINIC

Laboratory Demographics

  • CLIA Code: 26D0987173
  • Facility Name: PALMYRA CLINIC
  • Facility Address: 6996 CO RD 326
    PALMYRA, MO
    ZIP 63461
  • Facility Phone: 573 769-3710
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID J. KNORR
  • NPI Number: 1548368004
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0987173
LAB Type Rural Health Clinic
Facility Name PALMYRA CLINIC
Street 6996 CO RD 326
City PALMYRA
State MO
ZIP 63461
Phone 573 769-3710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Rural Health Clinic
Lab Director DAVID J. KNORR

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