26D2163848 CLIA NUMBER - POPLAR BLUFF REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 26D2163848
  • Facility Name: POPLAR BLUFF REGIONAL MEDICAL CENTER
  • Facility Address: 2620 NORTH WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 776-9507
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TERRY B. PONDER
  • NPI Number: 1154650331
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2163848
LAB Type Hospital
Facility Name POPLAR BLUFF REGIONAL MEDICAL CENTER
Street 2620 NORTH WESTWOOD BLVD
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 776-9507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Hospital
Lab Director TERRY B. PONDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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