26D1051385 CLIA NUMBER - MERCY CLINIC PEDIATRICS SMITH GLYNN CALLAWAY

Laboratory Demographics

  • CLIA Code: 26D1051385
  • Facility Name: MERCY CLINIC PEDIATRICS SMITH GLYNN CALLAWAY
  • Facility Address: 3231 S NATIONAL
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 885-0810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMMANUEL OBAFEMI-AJAYL
  • NPI Number: 1962609446
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D1051385
LAB Type Physician Office
Facility Name MERCY CLINIC PEDIATRICS SMITH GLYNN CALLAWAY
Street 3231 S NATIONAL
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 885-0810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. EMMANUEL OBAFEMI-AJAYL

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