14D0045094 CLIA NUMBER - MASSAC MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0045094
  • Facility Name: MASSAC MEMORIAL HOSPITAL
  • Facility Address: 28 CHICK STREET
    METROPOLIS, IL
    ZIP 62960
  • Facility Phone: 618 524-2176
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: TODD E. STILES
  • NPI Number: 1801941968
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D0045094
LAB Type Hospital
Facility Name MASSAC MEMORIAL HOSPITAL
Street 28 CHICK STREET
City METROPOLIS
State IL
ZIP 62960
Phone 618 524-2176
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Hospital
Lab Director TODD E. STILES

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This page was last updated on: 9/29/2025