26D0965282 CLIA NUMBER - STE GENEVIEVE CO MEMORIAL HOSPITAL DBA PINE DRIVE MEDICAL CENTRE

Laboratory Demographics

  • CLIA Code: 26D0965282
  • Facility Name: STE GENEVIEVE CO MEMORIAL HOSPITAL DBA PINE DRIVE MEDICAL CENTRE
  • Facility Address: 575 PINE DRIVE
    SAINTE GENEVIEVE, MO
    ZIP 63670
  • Facility Phone: 573 883-7474
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SUSAN ODONNELL
  • NPI Number: 1477537579
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0965282
LAB Type Rural Health Clinic
Facility Name STE GENEVIEVE CO MEMORIAL HOSPITAL DBA PINE DRIVE MEDICAL CENTRE
Street 575 PINE DRIVE
City SAINTE GENEVIEVE
State MO
ZIP 63670
Phone 573 883-7474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Rural Health Clinic
Lab Director SUSAN ODONNELL

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