CLIA lab
CLIA 26D0970164: Lone Pine - Granite House RCF LLC
Ironton, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D0970164 belongs to Lone Pine - Granite House RCF LLC in Ironton, MO.
Certificate of Waiver, effective August 15, 2025, expires August 14, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2000
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 26D0970164
- Lab name
- Lone Pine - Granite House RCF LLC
- Address
- 321 South Main Street, Ironton, MO 63650
- Phone
- (573) 546-7283
- Fax
- (573) 546-6102
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ironton, MO
Related
Questions
What is the CLIA number for Lone Pine - Granite House RCF LLC in Ironton?
26D0970164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lone Pine - Granite House RCF LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D0970164 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.