CLIA lab
CLIA 26D2202493: Big Tree Medical Home-Bolivar
Bolivar, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2202493 belongs to Big Tree Medical Home-Bolivar in Bolivar, MO.
Certificate of Waiver, effective November 28, 2024, expires November 27, 2026.
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
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2020
- Facility type
- Physician office
- 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
- 26D2202493
- Lab name
- Big Tree Medical Home-Bolivar
- Address
- 626 South Springfield Ave, Bolivar, MO 65613
- Phone
- (573) 814-1170
- Fax
- (573) 530-1020
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bolivar, MO
- Alpha HouseCertificate of Waiver, Other26D1064161
- Alpha HouseCertificate of Waiver, Mobile lab26D2335207
- Blue Castle LLCCertificate of Waiver, Assisted living facility26D2085596
- Bolivar Manor HouseCertificate of Waiver, Assisted living facility26D0987251
- Bolivar Schools Navigator ProgramCertificate of Waiver, School or student health service26D2266831
- Burrell - Bolivar ClinicCertificate of Waiver, Other26D2336833
- Butterfield Park Medical CenterCertificate of Compliance, Rural health clinic26D0447115
- Butterfield Residential Care CenterCertificate of Waiver, Assisted living facility26D0873320
- CMH Bolivar Family Care CenterCertificate of Compliance, Rural health clinic26D2000908
- CMH Dermatology ClinicCertificate of Compliance, Other26D2273378
Related
Questions
What is the CLIA number for Big Tree Medical Home-Bolivar in Bolivar?
26D2202493, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Big Tree Medical Home-Bolivar hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2202493 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.