14D0861230 CLIA NUMBER - MICHAEL DARMADI MD KASKASKIA MEDICAL CENTER LTD

Laboratory Demographics

  • CLIA Code: 14D0861230
  • Facility Name: MICHAEL DARMADI MD KASKASKIA MEDICAL CENTER LTD
  • Facility Address: 1003 N 8TH ST
    VANDALIA, IL
    ZIP 62471
  • Facility Phone: 618 283-4577
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL DARMADI MD
  • NPI Number: 1184601577
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0861230
LAB Type Physician Office
Facility Name MICHAEL DARMADI MD KASKASKIA MEDICAL CENTER LTD
Street 1003 N 8TH ST
City VANDALIA
State IL
ZIP 62471
Phone 618 283-4577
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 DARMADI MD

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