26D0441684 CLIA NUMBER - SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 26D0441684
  • Facility Name: SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE
  • Facility Address: 210 N MARKET STREET
    MILAN, MO
    ZIP 63556
  • Facility Phone: 660 265-4212
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DALE W. ESSMYER
  • NPI Number: 1285775858
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0441684
LAB Type Rural Health Clinic
Facility Name SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE
Street 210 N MARKET STREET
City MILAN
State MO
ZIP 63556
Phone 660 265-4212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director DALE W. ESSMYER

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