26D0921211 CLIA NUMBER - GREGORY K TERPSTRA DO

Laboratory Demographics

  • CLIA Code: 26D0921211
  • Facility Name: GREGORY K TERPSTRA DO
  • Facility Address: 612 E HIGH ST, STE 210
    POTOSI, MO
    ZIP 63664
  • Facility Phone: 573 438-3660
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY TERPSTRA DO
  • NPI Number: 1952399792
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0921211
LAB Type Physician Office
Facility Name GREGORY K TERPSTRA DO
Street 612 E HIGH ST, STE 210
City POTOSI
State MO
ZIP 63664
Phone 573 438-3660
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 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director GREGORY TERPSTRA DO

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