CLIA lab

CLIA 26D2202494: Big Tree Medical Home-Boonville

Boonville, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D2202494 belongs to Big Tree Medical Home-Boonville in Boonville, 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
26D2202494
Lab name
Big Tree Medical Home-Boonville
Address
2400 Boonslick Dr, Boonville, MO 65233
Phone
(573) 814-1170
Fax
(573) 530-1010

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 Boonville, MO

Related

Questions

What is the CLIA number for Big Tree Medical Home-Boonville in Boonville?

26D2202494, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Big Tree Medical Home-Boonville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D2202494 expire?

The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.

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