CLIA lab
CLIA 26D2169776: Black River Ambulatory Surgery Center, LLC
Poplar Bluff, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2169776 belongs to Black River Ambulatory Surgery Center, LLC in Poplar Bluff, MO.
Certificate of Waiver, effective July 26, 2025, expires July 25, 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
- July 26, 2025
- Certificate expiration
- July 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2019
- Facility type
- Ambulatory surgery center
- 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
- 26D2169776
- Lab name
- Black River Ambulatory Surgery Center, LLC
- Address
- 219 Physicians Park Drive, Poplar Bluff, MO 63901
- Phone
- (573) 727-9080
- Fax
- (573) 712-2214
Annual test volume the lab reported
- Waived tests
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Poplar Bluff, MO
- Air Evac Inc DBA Air Evac 24 Poplar BluffCertificate of Waiver, Mobile lab26D1087777
- Ama at Cedargate Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility26D2341261
- Amedisys Missouri LLC DBA Amedisys Home HealthCertificate of Waiver, Home health agency26D0931477
- Aspire Senior Living of Poplar BluffCertificate of Waiver, Skilled nursing or nursing facility26D0652183
- BHG Lxxiv, LLC D/B/A BHG Medical Services -Certificate of Waiver, Other26D2305869
- BHG Xxix, LLC D/B/A BHG Poplar Bluff TreatmentCertificate of Waiver, Other26D2078309
- Briggs & Stratton Health Center at Poplar BluffCertificate of Waiver, Other26D2168528
- Butler County EMS, LLCCertificate of Waiver, Ambulance26D2050947
- Butler County Health DepartmentCertificate of Waiver, Community clinic26D0688889
- Cedargate Health Care Center LLCCertificate of Waiver, Skilled nursing or nursing facility26D0442373
Related
Questions
What is the CLIA number for Black River Ambulatory Surgery Center, LLC in Poplar Bluff?
26D2169776, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black River Ambulatory Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2169776 expire?
The CMS file lists July 25, 2027 as the certificate expiration date; the certificate took effect July 26, 2025.