26D2098394 CLIA NUMBER - MID MISSOURI SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D2098394
  • Facility Name: MID MISSOURI SURGERY CENTER LLC
  • Facility Address: 1410 FORUM KATY PARKWAY SUITE 102
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 441-7070
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY MCGARITY
  • NPI Number: 1760860977
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2098394
LAB Type Ambulatory Surgery Center
Facility Name MID MISSOURI SURGERY CENTER LLC
Street 1410 FORUM KATY PARKWAY SUITE 102
City COLUMBIA
State MO
ZIP 65203
Phone 573 441-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY MCGARITY

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