26D0709363 CLIA NUMBER - GALLATIN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 26D0709363
  • Facility Name: GALLATIN FAMILY MEDICINE
  • Facility Address: 502 S MAIN
    GALLATIN, MO
    ZIP 64640
  • Facility Phone: 660 663-3751
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MUHAMMAD P. AMIN
  • NPI Number: 1235143520
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0709363
LAB Type Physician Office
Facility Name GALLATIN FAMILY MEDICINE
Street 502 S MAIN
City GALLATIN
State MO
ZIP 64640
Phone 660 663-3751
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 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director MUHAMMAD P. AMIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025