26D2173341 CLIA NUMBER - MERCY CLINIC PRIMARY CARE - JACKSON

Laboratory Demographics

  • CLIA Code: 26D2173341
  • Facility Name: MERCY CLINIC PRIMARY CARE - JACKSON
  • Facility Address: 2600 EAST MAIN STREET
    JACKSON, MO
    ZIP 63755
  • Facility Phone: 573 755-2310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH STARKE
  • NPI Number: 1942847413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2173341
LAB Type Physician Office
Facility Name MERCY CLINIC PRIMARY CARE - JACKSON
Street 2600 EAST MAIN STREET
City JACKSON
State MO
ZIP 63755
Phone 573 755-2310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director JOSEPH STARKE

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