26D0975386 CLIA NUMBER - NORTHEAST MISSOURI AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D0975386
  • Facility Name: NORTHEAST MISSOURI AMBULATORY SURGERY CENTER
  • Facility Address: 98 MEDICAL DRIVE PO BOX 511
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 406-1301
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY TERAIKIAN
  • NPI Number: 1710982699
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0975386
LAB Type Ambulatory Surgery Center
Facility Name NORTHEAST MISSOURI AMBULATORY SURGERY CENTER
Street 98 MEDICAL DRIVE PO BOX 511
City HANNIBAL
State MO
ZIP 63401
Phone 573 406-1301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulatory Surgery Center
Lab Director GREGORY TERAIKIAN

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This page was last updated on: 6/4/2025