26D0936005 CLIA NUMBER - MED STOP ONE

Laboratory Demographics

  • CLIA Code: 26D0936005
  • Facility Name: MED STOP ONE
  • Facility Address: 3065 WILLIAM STREET SUITE 209
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 335-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRYSTAL THOMAS
  • NPI Number: 1871893743
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 26D0936005
LAB Type Physician Office
Facility Name MED STOP ONE
Street 3065 WILLIAM STREET SUITE 209
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 335-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director CRYSTAL THOMAS

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