26D0442673 CLIA NUMBER - HIGGINSVILLE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 26D0442673
  • Facility Name: HIGGINSVILLE MEDICAL CLINIC
  • Facility Address: 3401 PINE STREET
    HIGGINSVILLE, MO
    ZIP 64037
  • Facility Phone: 660 584-2192
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: MATTHEW D. RHADANS
  • NPI Number: 1740246693
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0442673
LAB Type Rural Health Clinic
Facility Name HIGGINSVILLE MEDICAL CLINIC
Street 3401 PINE STREET
City HIGGINSVILLE
State MO
ZIP 64037
Phone 660 584-2192
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 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Rural Health Clinic
Lab Director MATTHEW D. RHADANS

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