CLIA lab
CLIA 26D2205953: Fredericktown Ebo MD LLC
Fredericktown, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2205953 belongs to Fredericktown Ebo MD LLC in Fredericktown, MO.
Certificate of Waiver, effective December 16, 2024, expires December 15, 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
- December 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2020
- Facility type
- Physician office
- 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
- 26D2205953
- Lab name
- Fredericktown Ebo MD LLC
- Address
- 605 Lincoln Dr, Fredericktown, MO 63645
- Phone
- (573) 561-5051
- Fax
- (573) 561-1192
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fredericktown, MO
- Claru Deville Health Care IncCertificate of Waiver, Skilled nursing or nursing facility26D0722635
- Community Counseling Center - FredericktownCertificate of Waiver, Other26D2331183
- Community Healthcare Assoc IncCertificate of Waiver, Rural health clinic26D1000700
- Madison County Ambulance DistrictCertificate of Waiver, Ambulance26D1099699
- Madison County Health DepartmentCertificate of Waiver, Other26D0719370
- Madison Medical CenterCertificate of Compliance, Hospital26D0441828
- Madison Medical CenterCertificate for Provider-Performed Microscopy Procedures, Rural health clinic26D1002138
- Mercy Clinic Obgyn FredricktownCertificate of Waiver, Physician office26D2313377
- Ozark Manor AlfCertificate of Waiver, Assisted living facility26D2124142
- Parkland Health Mart PharmacyCertificate of Waiver, Pharmacy26D2069197
Related
Questions
What is the CLIA number for Fredericktown Ebo MD LLC in Fredericktown?
26D2205953, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fredericktown Ebo MD LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2205953 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.