26D1014836 CLIA NUMBER - JCMG SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D1014836
  • Facility Name: JCMG SURGERY CENTER
  • Facility Address: 3520 W EDGEWOOD DRIVE
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 556-7765
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM DUKE
  • NPI Number: 1023169380
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1014836
LAB Type Ambulatory Surgery Center
Facility Name JCMG SURGERY CENTER
Street 3520 W EDGEWOOD DRIVE
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 556-7765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2023
Certificate Expiration Date 7/16/2025
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM DUKE

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