26D1056202 CLIA NUMBER - MERCY CLINIC FAMILY MEDICINE SGC STE 220

Laboratory Demographics

  • CLIA Code: 26D1056202
  • Facility Name: MERCY CLINIC FAMILY MEDICINE SGC STE 220
  • Facility Address: 3231 S NATIONAL AVE, SUITE 140
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 890-4135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN P. TARSNEY
  • NPI Number: 1770612590
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1056202
LAB Type Physician Office
Facility Name MERCY CLINIC FAMILY MEDICINE SGC STE 220
Street 3231 S NATIONAL AVE, SUITE 140
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 890-4135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director SEAN P. TARSNEY

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