26D1028166 CLIA NUMBER - MEXICO VA OPC

Laboratory Demographics

  • CLIA Code: 26D1028166
  • Facility Name: MEXICO VA OPC
  • Facility Address: 3460 S CLARK
    MEXICO, MO
    ZIP 65265
  • Facility Phone: 573 581-9630
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JARED H. COBERLY
  • NPI Number: 1033156864
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1028166
LAB Type Community Clinic
Facility Name MEXICO VA OPC
Street 3460 S CLARK
City MEXICO
State MO
ZIP 65265
Phone 573 581-9630
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/21/2004
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JARED H. COBERLY

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