26D2153799 CLIA NUMBER - ST BERNARDS PHYSICIAN CLINICS, INC

Laboratory Demographics

  • CLIA Code: 26D2153799
  • Facility Name: ST BERNARDS PHYSICIAN CLINICS, INC
  • Facility Address: 1312 1ST STREET
    KENNETT, MO
    ZIP 63857
  • Facility Phone: 573 559-2780
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CEILA GOODMAN
  • NPI Number: 1568953636
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2153799
LAB Type Physician Office
Facility Name ST BERNARDS PHYSICIAN CLINICS, INC
Street 1312 1ST STREET
City KENNETT
State MO
ZIP 63857
Phone 573 559-2780
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director CEILA GOODMAN

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