26D2207652 CLIA NUMBER - PHELPS HEALTH

Laboratory Demographics

  • CLIA Code: 26D2207652
  • Facility Name: PHELPS HEALTH
  • Facility Address: 603 S BISHOP, SUITE C
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 458-3478
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY KERR
  • NPI Number: 1952304578
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 26D2207652
LAB Type Physician Office
Facility Name PHELPS HEALTH
Street 603 S BISHOP, SUITE C
City ROLLA
State MO
ZIP 65401
Phone 573 458-3478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JEFFERY KERR

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