26D0441828 CLIA NUMBER - MADISON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0441828
  • Facility Name: MADISON MEDICAL CENTER
  • Facility Address: 611 WEST MAIN
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-3341
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: RUSSELL D. DEIDIKER
  • NPI Number: 1669514436
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0441828
LAB Type Hospital
Facility Name MADISON MEDICAL CENTER
Street 611 WEST MAIN
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-3341
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Hospital
Lab Director RUSSELL D. DEIDIKER

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