26D1052781 CLIA NUMBER - PHELPS HEALTH

Laboratory Demographics

  • CLIA Code: 26D1052781
  • Facility Name: PHELPS HEALTH
  • Facility Address: 606 HWY 63 S
    VIENNA, MO
    ZIP 65582
  • Facility Phone: 573 422-3636
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RACHELLE GORRELL
  • NPI Number: 1114235041
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1052781
LAB Type Rural Health Clinic
Facility Name PHELPS HEALTH
Street 606 HWY 63 S
City VIENNA
State MO
ZIP 65582
Phone 573 422-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Rural Health Clinic
Lab Director RACHELLE GORRELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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