26D2290406 CLIA NUMBER - MERCY HOSPITAL EMS WAIVED POCT

Laboratory Demographics

  • CLIA Code: 26D2290406
  • Facility Name: MERCY HOSPITAL EMS WAIVED POCT
  • Facility Address: 1407 ST LOUIS STREET
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 820-7620
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: THOMAS C. LEWIS
  • NPI Number: 1932131778
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 26D2290406
LAB Type Ambulance
Facility Name MERCY HOSPITAL EMS WAIVED POCT
Street 1407 ST LOUIS STREET
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 820-7620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Ambulance
Lab Director THOMAS C. LEWIS

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