14D0712695 CLIA NUMBER - BRIAN W DOSSETT MD LTD

Laboratory Demographics

  • CLIA Code: 14D0712695
  • Facility Name: BRIAN W DOSSETT MD LTD
  • Facility Address: 1029 N 8TH ST
    VANDALIA, IL
    ZIP 62471
  • Facility Phone: 618 283-4469
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN M. DOSSETT
  • NPI Number: 1366490815
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0712695
LAB Type Physician Office
Facility Name BRIAN W DOSSETT MD LTD
Street 1029 N 8TH ST
City VANDALIA
State IL
ZIP 62471
Phone 618 283-4469
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 BRIAN M. DOSSETT

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