26D2104832 CLIA NUMBER - MERCY CLINIC PRIMARY CARE - COLUMBIA, IL

Laboratory Demographics

  • CLIA Code: 26D2104832
  • Facility Name: MERCY CLINIC PRIMARY CARE - COLUMBIA, IL
  • Facility Address: 1019 VALMEYER ROAD
    COLUMBIA, IL
    ZIP 62236
  • Facility Phone: 618 281-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY P. BIRNER
  • NPI Number: 1164089124
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2104832
LAB Type Physician Office
Facility Name MERCY CLINIC PRIMARY CARE - COLUMBIA, IL
Street 1019 VALMEYER ROAD
City COLUMBIA
State IL
ZIP 62236
Phone 618 281-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director NANCY P. BIRNER

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