26D2053558 CLIA NUMBER - PHELPS HEALTH

Laboratory Demographics

  • CLIA Code: 26D2053558
  • Facility Name: PHELPS HEALTH
  • Facility Address: 1050 W 10TH ST, SUITES 150,300,380,430,480,510,530
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 364-9000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WESLEY HARDEN
  • NPI Number: 1124237227
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2053558
LAB Type Physician Office
Facility Name PHELPS HEALTH
Street 1050 W 10TH ST, SUITES 150,300,380,430,480,510,530
City ROLLA
State MO
ZIP 65401
Phone 573 364-9000
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 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director WESLEY HARDEN

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