26D1003912 CLIA NUMBER - MERCY CLINIC ST JAMES

Laboratory Demographics

  • CLIA Code: 26D1003912
  • Facility Name: MERCY CLINIC ST JAMES
  • Facility Address: 107 W ELDON ST
    SAINT JAMES, MO
    ZIP 65559
  • Facility Phone: 573 265-1818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY MAYNARD
  • NPI Number: 1134251929
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1003912
LAB Type Physician Office
Facility Name MERCY CLINIC ST JAMES
Street 107 W ELDON ST
City SAINT JAMES
State MO
ZIP 65559
Phone 573 265-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director GREGORY MAYNARD

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