14D0434104 CLIA NUMBER - MICHAEL E HERRMANN MD

Laboratory Demographics

  • CLIA Code: 14D0434104
  • Facility Name: MICHAEL E HERRMANN MD
  • Facility Address: 2900 FRANK SCOTT PKWY WEST SUITE 966
    BELLEVILLE, IL
    ZIP 62223
  • Facility Phone: 618 235-8600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL E. HERRMANN
  • NPI Number: 1164525093
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0434104
LAB Type Physician Office
Facility Name MICHAEL E HERRMANN MD
Street 2900 FRANK SCOTT PKWY WEST SUITE 966
City BELLEVILLE
State IL
ZIP 62223
Phone 618 235-8600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL E. HERRMANN

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