26D2051486 CLIA NUMBER - MISSOURI S&T STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 26D2051486
  • Facility Name: MISSOURI S&T STUDENT HEALTH
  • Facility Address: 910 WEST 10TH STREET
    ROLLA, MO
    ZIP 65409
  • Facility Phone: 573 341-4284
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH C. DODD
  • NPI Number: 1790051050
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2051486
LAB Type School/Student Health Service
Facility Name MISSOURI S&T STUDENT HEALTH
Street 910 WEST 10TH STREET
City ROLLA
State MO
ZIP 65409
Phone 573 341-4284
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type School/Student Health Service
Lab Director ELIZABETH C. DODD

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