26D2262032 CLIA NUMBER - CENTER FOR DIAGNOSTIC MEDICINE

Laboratory Demographics

  • CLIA Code: 26D2262032
  • Facility Name: CENTER FOR DIAGNOSTIC MEDICINE
  • Facility Address: 320 W MOUNT VERNON BLVD
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 461-3009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA L. PARKER
  • NPI Number: 1962134114
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2262032
LAB Type Physician Office
Facility Name CENTER FOR DIAGNOSTIC MEDICINE
Street 320 W MOUNT VERNON BLVD
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 461-3009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director LISA L. PARKER

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