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LAKE REGIONAL CLINIC - IBERIA
NPI 1891018784
Clinic/Center - Rural Health in Iberia, MO

Active since March 05, 2010CLIA 26D1097712 · Waiver
2333 HIGHWAY 17, IBERIA, MO 65486(573) 793-6900(573) 793-6688 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Regional Clinic - Iberia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE REGIONAL CLINIC - IBERIA (NPI 1891018784) is a healthcare organization registered as a rural health in Iberia, Missouri and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891018784
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address2333 HIGHWAY 17Iberia, MO 65486-9331
Mailing AddressPo Box 801661Kansas City, MO 64180-1661 · (573) 348-8000
Phone(573) 793-6900
Fax(573) 793-6688
Organization SubpartNo
Authorized OfficialKevin McrobertsCeo · (573) 348-8756
Enumeration DateMarch 5, 2010
Last NPPES UpdateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1891018784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2333 HIGHWAY 17, Iberia, MO 65486
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Other Names 1

Doing Business AsLake Regional Clinic - Iberia

Other Identifiers 1

Medicaid1891018784MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1097712

Lake Regional Clinic - Iberia · Iberia, MO
Active · expires Mar 31, 2027
CLIA Number26D1097712
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorChelsie M. Deardeuff
Laboratory Phone(573) 793-6900
Laboratory LocationLake Regional Clinic - Iberia2333 Hwy 17, Iberia, MO 65486
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET C HART NP
Nurse Practitioner (Family)
2333 HIGHWAY 17
IBERIA, MO 65486
Miller County (573) 793-6900
DR. GARY N THOMSEN M.D.
Family Medicine
2333 HIGHWAY 17
IBERIA, MO 65486
Miller County (573) 793-6900
CHELSIE DEARDEUFF FNP
Nurse Practitioner (Family)
2333 HIGHWAY 17
IBERIA, MO 65486
Miller County (573) 793-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1891018784. It was assigned to this organization in the NPPES registry on March 5, 2010. The provider is doing business as Lake Regional Clinic - Iberia.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 2333 Highway 17, Iberia, MO 65486. The listed phone number is (573) 793-6900.

What is Lake Regional Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lake Regional Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1097712) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Regional Health System accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Lake Regional Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Regional Health System was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.