26D2006709 CLIA NUMBER - MCPHERSON MEDICAL & DIAGNOSTIC DBA AMERICAN MEDICAL MISSOURI

Laboratory Demographics

  • CLIA Code: 26D2006709
  • Facility Name: MCPHERSON MEDICAL & DIAGNOSTIC DBA AMERICAN MEDICAL MISSOURI
  • Facility Address: 12277 DEPAUL DRIVE, STE 402
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 573 559-3591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH HAZAN
  • NPI Number: 1427114107
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 26D2006709
LAB Type Physician Office
Facility Name MCPHERSON MEDICAL & DIAGNOSTIC DBA AMERICAN MEDICAL MISSOURI
Street 12277 DEPAUL DRIVE, STE 402
City BRIDGETON
State MO
ZIP 63044
Phone 573 559-3591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director JOSEPH HAZAN

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