CLIA lab
CLIA 26D1103242: Three Rivers Hospice, West
Mount Vernon, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D1103242 belongs to Three Rivers Hospice, West in Mount Vernon, MO.
Certificate of Waiver, effective August 5, 2025, expires August 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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2009
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- 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
- 26D1103242
- Lab name
- Three Rivers Hospice, West
- Address
- 631 N Spring Park Blvd, Mount Vernon, MO 65712
- Phone
- (417) 461-0580
- Fax
- (417) 461-0583
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Three Rivers Hospice WestCMS Care Compare ratings for the facility at the same street address
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- Clark Community Mental Health CenterCertificate of Waiver, Community clinic26D2331897
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- Hometown Pharmacy #267Certificate of Waiver, Pharmacy26D2307781
- Lawrence Co Health Dept LaboratoryCertificate of Waiver, Public health laboratory26D0447364
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- Lawrence County Nursing Home DistrictCertificate of Waiver, Skilled nursing or nursing facility26D0652433
- MT Vernon ClinicCertificate of Waiver, Physician office26D0447363
Related
Questions
What is the CLIA number for Three Rivers Hospice, West in Mount Vernon?
26D1103242, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Three Rivers Hospice, West hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D1103242 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.