26D1071772 CLIA NUMBER - MERCY 206 HOSPITAL LANE

Laboratory Demographics

  • CLIA Code: 26D1071772
  • Facility Name: MERCY 206 HOSPITAL LANE
  • Facility Address: 206 HOSPITAL LANE
    PERRYVILLE, MO
    ZIP 63775
  • Facility Phone: 573 547-4899
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: CRAIG FRAYER
  • NPI Number: 1619921160
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1071772
LAB Type Rural Health Clinic
Facility Name MERCY 206 HOSPITAL LANE
Street 206 HOSPITAL LANE
City PERRYVILLE
State MO
ZIP 63775
Phone 573 547-4899
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Rural Health Clinic
Lab Director CRAIG FRAYER

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