26D2275722 CLIA NUMBER - MERCY CLINIC ROLLA CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 26D2275722
  • Facility Name: MERCY CLINIC ROLLA CONVENIENT CARE
  • Facility Address: 1606 MARTIN SPRINGS DRIVE, SUITE 260
    ROLLA, MO
    ZIP 65401
  • Facility Phone: 573 458-6350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CALEB T. JONES
  • NPI Number: 1134326713
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2275722
LAB Type Physician Office
Facility Name MERCY CLINIC ROLLA CONVENIENT CARE
Street 1606 MARTIN SPRINGS DRIVE, SUITE 260
City ROLLA
State MO
ZIP 65401
Phone 573 458-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director CALEB T. JONES

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