14D1041285 CLIA NUMBER - CHRISTINA L MIDKIFF M D S C

Laboratory Demographics

  • CLIA Code: 14D1041285
  • Facility Name: CHRISTINA L MIDKIFF M D S C
  • Facility Address: 2023 VADALABENE DRIVE, STE 200
    MARYVILLE, IL
    ZIP 62062
  • Facility Phone: 618 288-7408
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTINA L. MIDKIFF M D
  • NPI Number: 1306825856
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1041285
LAB Type Physician Office
Facility Name CHRISTINA L MIDKIFF M D S C
Street 2023 VADALABENE DRIVE, STE 200
City MARYVILLE
State IL
ZIP 62062
Phone 618 288-7408
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 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director CHRISTINA L. MIDKIFF M D

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