26D2184377 CLIA NUMBER - QTC MEDICAL GROUP - SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 26D2184377
  • Facility Name: QTC MEDICAL GROUP - SPRINGFIELD
  • Facility Address: 1911 S NATIONAL AVE SUITE 409
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 889-0529
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMSHID TAMIRY

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CLIA Record

Field Name Field Value
CLIA Number 26D2184377
LAB Type Physician Office
Facility Name QTC MEDICAL GROUP - SPRINGFIELD
Street 1911 S NATIONAL AVE SUITE 409
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 889-0529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director JAMSHID TAMIRY

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