26D0441485 CLIA NUMBER - QMG CANTON

Laboratory Demographics

  • CLIA Code: 26D0441485
  • Facility Name: QMG CANTON
  • Facility Address: 1100 E OUTER ROAD SOUTH, SUITE 4
    CANTON, MO
    ZIP 63435
  • Facility Phone: 573 288-5949
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ARVIN ABUEG
  • NPI Number: 1902870439
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0441485
LAB Type Rural Health Clinic
Facility Name QMG CANTON
Street 1100 E OUTER ROAD SOUTH, SUITE 4
City CANTON
State MO
ZIP 63435
Phone 573 288-5949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Rural Health Clinic
Lab Director ARVIN ABUEG

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