26D1020191 CLIA NUMBER - MERCY CLINIC LABORATORY - BRANSON

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Laboratory Demographics

CLIA Number: 26D1020191

Facility Name: MERCY CLINIC LABORATORY - BRANSON

Facility Address:
448 STATE HWY 248, SUITE 150
BRANSON, MO
ZIP 65616
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Facility Phone Number: 417 213-4776

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1144498528

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D1020191
LAB Type	Community Clinic
Facility Name	MERCY CLINIC LABORATORY - BRANSON
Street	448 STATE HWY 248, SUITE 150
City	BRANSON
State	MO
ZIP	65616
Phone	417 213-4776
CertificateType	2
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024