26D0652387 CLIA NUMBER - FULTON STATE HOSPITAL

Laboratory Demographics

  • CLIA Code: 26D0652387
  • Facility Name: FULTON STATE HOSPITAL
  • Facility Address: 600 E 5TH STREET
    FULTON, MO
    ZIP 65251
  • Facility Phone: 573 592-2222
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ROBERT SEXE
  • NPI Number: 1104878792
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 26D0652387
LAB Type Hospital
Facility Name FULTON STATE HOSPITAL
Street 600 E 5TH STREET
City FULTON
State MO
ZIP 65251
Phone 573 592-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Hospital
Lab Director ROBERT SEXE

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