26D2038171 CLIA NUMBER - MIDWEST NEUROSURGEONS, LLC

Laboratory Demographics

  • CLIA Code: 26D2038171
  • Facility Name: MIDWEST NEUROSURGEONS, LLC
  • Facility Address: 65 DOCTORS PARK, STE A
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 651-1687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SONJAY J. FONN
  • NPI Number: 1992940407
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D2038171
LAB Type Physician Office
Facility Name MIDWEST NEUROSURGEONS, LLC
Street 65 DOCTORS PARK, STE A
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 651-1687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director SONJAY J. FONN

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