26D0445884 CLIA NUMBER - SOUTHWEST MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D0445884
  • Facility Name: SOUTHWEST MEDICAL ASSOCIATES
  • Facility Address: 123 BAVARIAN HILLS PLZ
    HERMANN, MO
    ZIP 65041
  • Facility Phone: 573 486-2118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. ROTHERMICH
  • NPI Number: 1790810729
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0445884
LAB Type Physician Office
Facility Name SOUTHWEST MEDICAL ASSOCIATES
Street 123 BAVARIAN HILLS PLZ
City HERMANN
State MO
ZIP 65041
Phone 573 486-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director MICHAEL T. ROTHERMICH

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