26D0897613 CLIA NUMBER - HERMANN AREA HOSP DIST/ASSOC MED ARTS

Laboratory Demographics

  • CLIA Code: 26D0897613
  • Facility Name: HERMANN AREA HOSP DIST/ASSOC MED ARTS
  • Facility Address: 504 NORTH STURGEON
    MONTGOMERY CITY, MO
    ZIP 63361
  • Facility Phone: 573 564-2990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. ROTHERMICH
  • NPI Number: 1992830921
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0897613
LAB Type Physician Office
Facility Name HERMANN AREA HOSP DIST/ASSOC MED ARTS
Street 504 NORTH STURGEON
City MONTGOMERY CITY
State MO
ZIP 63361
Phone 573 564-2990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director MICHAEL T. ROTHERMICH

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