26D1048926 CLIA NUMBER - OCH LAWRENCE COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 26D1048926
  • Facility Name: OCH LAWRENCE COUNTY CLINIC
  • Facility Address: 108 S HICKORY ST
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 466-4110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM MCKAY
  • NPI Number: 1568502631
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1048926
LAB Type Physician Office
Facility Name OCH LAWRENCE COUNTY CLINIC
Street 108 S HICKORY ST
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 466-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director WILLIAM MCKAY

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