CLIA lab

CLIA 26D0876456: Missouri Baptist Sullivan Medical Office

Sullivan, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D0876456 belongs to Missouri Baptist Sullivan Medical Office in Sullivan, MO.

Certificate for Provider-Performed Microscopy Procedures, effective April 21, 2025, expires April 20, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 1993
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D0876456
Lab name
Missouri Baptist Sullivan Medical Office
Address
965 Mattox Drive, Sullivan, MO 63080
Phone
(573) 860-6000
Fax
(573) 860-6016

Annual test volume the lab reported

Waived tests
12,551
Provider-performed microscopy tests
1,300
Total
13,851

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Missouri Baptist Sullivan Medical Office in Sullivan?

26D0876456, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Missouri Baptist Sullivan Medical Office hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 26D0876456 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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