26D2110702 CLIA NUMBER - PIKE COUNTY MEMORIAL HOSPITAL DBA PCMH CLINIC

Laboratory Demographics

  • CLIA Code: 26D2110702
  • Facility Name: PIKE COUNTY MEMORIAL HOSPITAL DBA PCMH CLINIC
  • Facility Address: 425 NORTH GALLOWAY
    VANDALIA, MO
    ZIP 63382
  • Facility Phone: 573 754-4584
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: AARON M. TRONE
  • NPI Number: 1538513072
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2110702
LAB Type Rural Health Clinic
Facility Name PIKE COUNTY MEMORIAL HOSPITAL DBA PCMH CLINIC
Street 425 NORTH GALLOWAY
City VANDALIA
State MO
ZIP 63382
Phone 573 754-4584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Rural Health Clinic
Lab Director AARON M. TRONE

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