26D2294846 CLIA NUMBER - 360 MEDICAL TESTING SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 26D2294846
  • Facility Name: 360 MEDICAL TESTING SOLUTIONS LLC
  • Facility Address: 819 S BELT WEST
    BELLEVILLE, IL
    ZIP 62220
  • Facility Phone: 314 722-6060
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANDRA S. VAUGHN
  • NPI Number: 1831961036
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 26D2294846
LAB Type Mobile Laboratory
Facility Name 360 MEDICAL TESTING SOLUTIONS LLC
Street 819 S BELT WEST
City BELLEVILLE
State IL
ZIP 62220
Phone 314 722-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Mobile Laboratory
Lab Director ANDRA S. VAUGHN

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