CLIA lab
CLIA 26D2053542: Victorian Place of Sullivan
Sullivan, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2053542 belongs to Victorian Place of Sullivan in Sullivan, MO.
Certificate of Waiver, effective February 1, 2025, expires January 31, 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
- February 1, 2025
- Certificate expiration
- January 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2013
- Facility type
- Assisted living facility
- 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
- 26D2053542
- Lab name
- Victorian Place of Sullivan
- Address
- 1250 East Springfield, Sullivan, MO 63080
- Phone
- (573) 468-5217
- Fax
- (573) 468-5219
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sullivan, MO
- Arch Air Medical - Sullivan BaseCertificate of Waiver, Ambulance26D2057928
- BJC Medical Group CardiologyCertificate of Waiver, Physician office26D2163279
- Bel Oak of MeramecCertificate of Waiver, Skilled nursing or nursing facility26D0886725
- Compass Health - SullivanCertificate of Waiver, Federally qualified health center26D2333834
- Dunsford Court Assisted LivingCertificate of Waiver, Assisted living facility26D0953070
- Fresenius Medical Care-SullivanCertificate of Waiver, End stage renal disease dialysis facility26D1093584
- Life Care Center of SullivanCertificate of Waiver, Skilled nursing or nursing facility26D0716476
- Mercy Clinic East CommunitiesCertificate of Waiver, Physician office26D1072033
- Mercy Clinic Sullivan Family MedicineCertificate of Waiver, Physician office26D0961061
- Missouri Baptist Sullivan HospitalCertificate of Accreditation, Hospital26D0437840
Related
Questions
What is the CLIA number for Victorian Place of Sullivan in Sullivan?
26D2053542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victorian Place of Sullivan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2053542 expire?
The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.