26D0441984 CLIA NUMBER - DOCTORS' PARK SURGERY INC

Laboratory Demographics

  • CLIA Code: 26D0441984
  • Facility Name: DOCTORS' PARK SURGERY INC
  • Facility Address: 30 DOCTORS PARK
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 334-9606
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: W RAY G. SILLIMAN
  • NPI Number: 1861487324
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0441984
LAB Type Ambulatory Surgery Center
Facility Name DOCTORS' PARK SURGERY INC
Street 30 DOCTORS PARK
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 334-9606
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 Ambulatory Surgery Center
Lab Director W RAY G. SILLIMAN

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