26D0717447 CLIA NUMBER - GIDEON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0717447
  • Facility Name: GIDEON MEDICAL CENTER
  • Facility Address: 100 SOUTH MAIN
    GIDEON, MO
    ZIP 63848
  • Facility Phone: 573 559-3591
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TIMOTHY W. MCPHERSON
  • NPI Number: 1124518451
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0717447
LAB Type Rural Health Clinic
Facility Name GIDEON MEDICAL CENTER
Street 100 SOUTH MAIN
City GIDEON
State MO
ZIP 63848
Phone 573 559-3591
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 Rural Health Clinic
Lab Director TIMOTHY W. MCPHERSON

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