26D2084326 CLIA NUMBER - MERCY1508 EDGEMONT

Laboratory Demographics

  • CLIA Code: 26D2084326
  • Facility Name: MERCY1508 EDGEMONT
  • Facility Address: 1508 EDGEMONT BOULEVARD
    PERRYVILLE, MO
    ZIP 63775
  • Facility Phone: 573 768-3220
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVID F. KAPP
  • NPI Number: 1114327954
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2084326
LAB Type Rural Health Clinic
Facility Name MERCY1508 EDGEMONT
Street 1508 EDGEMONT BOULEVARD
City PERRYVILLE
State MO
ZIP 63775
Phone 573 768-3220
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 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Rural Health Clinic
Lab Director DAVID F. KAPP

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