CLIA lab
CLIA 26D0876487: Missouri Baptist Sullivan Bourbon Medical Office
Bourbon, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D0876487 belongs to Missouri Baptist Sullivan Bourbon Medical Office in Bourbon, MO.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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 of Waiver
- Certificate effective
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 1993
- Facility type
- Other practitioner
- 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
- 26D0876487
- Lab name
- Missouri Baptist Sullivan Bourbon Medical Office
- Address
- 240 College Street, PO Box 100, Bourbon, MO 65441
- Phone
- (573) 732-5140
- Fax
- (573) 732-5689
Annual test volume the lab reported
- Waived tests
- 12,551
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 Bourbon Medical Office in Bourbon?
26D0876487, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Missouri Baptist Sullivan Bourbon Medical Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D0876487 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.